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VAERS Report 2156820

Case Report Section

Vaer Report Details

Age: NA

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fl9994


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-07
Date of Onset
1
Number of days (onset date – vaccination date)
1
Adverse Event Description

localised pain; painful arm; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from a regulatory authority. regulatory number: gb-mhra-webcovid-202202180931104070-9zlts. other case identifier(s): gb-mhra-adr 26619032. a 12 year-old male patient received bnt162b2 (comirnaty), administration date 07feb2022 (lot number: fl9994) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: bnt162b2 (dose-1), for covid-19 immunisation. the following information was reported: pain in extremity (medically significant) with onset 08feb2022, outcome "not recovered", described as "painful arm"; pain (medically significant), outcome "not recovered", described as "localised pain". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (10feb2022) negative, notes: no - negative covid-19 test. patient has not had symptoms associated with covid-19. the pain was continuing and he was not being able to lie down on that side, or not using that arm to do any activity. the original reaction was normal localised pain, but this continuous pain developed within a week following the vaccine administering. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. the reporter did not relate to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible. no further information is expected

Lab Data
test date: 20220210; test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test
List of symptoms
pain in extremity pain sars-cov-2 test
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
na