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VAERS Report 2156862

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
2021-10-23
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

pain; jaw bone hurt; cannot get out of bed in the morning; rheumatoid arthritis flare up; primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202211103453920-s7z3i. other case identifier(s): gb-mhra-adr 26628689. a 72-year-old female patient received bnt162b2 (comirnaty), administration date 23oct2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. patient has not had symptoms associated with covid-19. patient is not enrolled in clinical trial. vaccination history included: covid-19 vaccine (dose 1; manufacturer unknown, non-pfizer), for covid-19 immunisation; covid-19 vaccine (dose 2; manufacturer unknown, non-pfizer), for covid-19 immunisation. the following information was reported: off label use (medically significant), interchange of vaccine products (medically significant) all with onset 23oct2021, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; pain (medically significant), outcome "not recovered", described as "pain"; rheumatoid arthritis (medically significant) with onset 29nov2021, outcome "not recovered", described as "rheumatoid arthritis flare up"; pain in jaw (medically significant), outcome "unknown", described as "jaw bone hurt"; mobility decreased (medically significant), outcome "unknown", described as "cannot get out of bed in the morning". the patient underwent the following laboratory tests and procedures: covid-19 virus test: no - negative covid-19 test. therapeutic measures were taken as a result of pain, rheumatoid arthritis, pain in jaw, mobility decreased. additional information: patient never had an arthritis flare previously, but joints that never used to hurt were in agony (e.g., jaw bone). patient could not get out of bed in the morning until the additional pain relief given kicked in. this had never been this bad prior to the booster vaccine. patient has not 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
rheumatoid arthritis pain interchange of vaccine products mobility decreased pain in jaw sars-cov-2 test off label use
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