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VAERS Report 2156827

Case Report Section

Vaer Report Details

Age: NA

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
2021-12-19
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

pain; joint pain/acute pain in right hip and knee; delayed period; primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority . the reporter is the patient. regulatory number: gb-mhra-webcovid-202202181246473930-xylml. a 47 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 19dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "depressed mood" (unspecified if ongoing). concomitant medication(s) included: fluoxetine taken for depressed mood. vaccination history included: covid-19 vaccine (dose 2; manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (dose 1; manufacturer unknown), for covid-19 immunisation. the patient had no symptoms associated with covid-19 and was not enrolled in clinical trial. the patient was not breastfeeding at the time of this report. the last menstrual date of the patient was on 16feb2022. the following information was reported: off label use (disability), interchange of vaccine products (disability) all with onset 19dec2021, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; pain (disability), outcome "not recovered", described as "pain"; menstruation delayed (disability) with onset 25dec2021, outcome "recovered" (16feb2022), described as "delayed period"; arthralgia (disability) with onset 12feb2022, outcome "recovered" (16feb2022), described as "joint pain/acute pain in right hip and knee". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. the patient experienced acute pain in the right hip and right knee on 15feb2022 which lasted more than 12 hours. the pain disappeared when she got her period.the patient had not been tested positive for covid-19 since having the vaccine. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
List of symptoms
arthralgia pain interchange of vaccine products sars-cov-2 test off label use menstruation delayed
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?
Yes
Allergies:
na
Current Illness
na