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VAERS Report 2156819

Case Report Section

Vaer Report Details

Age: 28 years old

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: unknown


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-17
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

received doses 1 and 2 of covid-19 vaccine (manufacturer unknown) and dose 3 with comirnaty; received doses 1 and 2 of covid-19 vaccine (manufacturer unknown) and dose 3 with comirnaty; maternal exposure during pregnancy/patient is expected to deliver a baby(s) on 20apr2022; vomiting; chills; headache; injection site pain; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority (ra). regulatory number: gb-mhra-webcovid-202202180806024850-p4uqd. other case identifier(s): gb-mhra-adr 26618929. a 28-year-old female patient (pregnant) received bnt162b2 (comirnaty), administration date 17feb2022 (batch/lot number: unknown) at the age of 28 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included ongoing pregnancy and testing yes - positive covid-19 test in a covid-19 virus test from 21dec2021 until 27dec2021. patient was not currently breastfeeding. concomitant medication included: folic acid taken for folic acid supplementation. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (dose 2, manufacturer unknown), for covid-19 immunisation. on 17feb2022, the patient experienced maternal exposure during pregnancy, vomiting, chills, headache and injection site pain. the events were reported as serious (medically significant). the patient is expected to deliver a baby(s) on 20apr2022. however, it was also reported that "patient was exposed to the medicine before pregnancy". patient has not tested positive for covid-19 since having the vaccine. this report was not related to possible inflammation of the heart (myocarditis or pericarditis). the outcome of vomiting and chills was recovering while not recovered for "maternal exposure during pregnancy/patient is expected to deliver a baby(s) on 20apr2022", headache and injection site pain. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
na
List of symptoms
chills vomiting headache interchange of vaccine products vaccination site pain off label use maternal exposure during pregnancy
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
pregnancy (estimated due date: 20apr2022)