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VAERS Report 2156845

Case Report Section

Vaer Report Details

Age: NA

Gender: Unknown

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
2022-02-18
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

shaking; fever; whole body aches; muscle ache; fatigue; achey arm/progressed to aching so much; can't lift the arm; headache; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202191532358410-jifbg. other case identifier(s): gb-mhra-adr 26625824. a patient (no qualifiers provided) received bnt162b2 (comirnaty), administration date 18feb2022 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 20mar2020 (unspecified if ongoing), notes: unsure when symptoms stopped. the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 01, manufacturer unknown), for covid-19 immunisation. the following information was reported: tremor (medically significant), outcome "not recovered", described as "shaking"; pyrexia (medically significant) with onset 19feb2022, outcome "not recovered", described as "fever"; headache (medically significant) with onset 18feb2022, outcome "not recovered", described as "headache"; myalgia (medically significant) with onset 19feb2022, outcome "not recovered", described as "muscle ache"; fatigue (medically significant) with onset 19feb2022, outcome "not recovered", described as "fatigue"; pain in extremity (medically significant) with onset 18feb2022, outcome "not recovered", described as "achey arm/progressed to aching so much"; hypokinesia (medically significant) with onset 18feb2022, outcome "not recovered", described as "can't lift the arm"; pain (medically significant) with onset 19feb2022, outcome "not recovered", described as "whole body aches". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative, notes: no - negative covid-19 test. reported achey arm on day of second dose and headache which progressed to aching so much the patient could not lift the arm. stated that 24 hours after the dose, the patient had a fever, shaking, headache, whole body aches and muscles pains. patient has not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. the report does not relate to possible inflammation of the heart (myocarditis or pericarditis). 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; test result: negative ; comments: no - negative covid-19 test
List of symptoms
fatigue headache hypokinesia pain in extremity pain tremor pyrexia myalgia 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