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VAERS Report 2156866

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
2021-12-15
Date of Onset
22
Number of days (onset date – vaccination date)
22
Adverse Event Description

hair loss; fatigue/unusual tiredness; fever; heavy periods; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202212348331540-ggk0w (agency). other case identifier(s): gb-mhra-adr 26633923 (agency). a female patient received bnt162b2 (comirnaty), administration date 15dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "suspected covid-19" (ongoing), notes: unsure when symptoms started. the patient's concomitant medications were not reported. vaccination history included: bnt162b2 (dose 2, single; lot number: unknown), for covid-19 immunisation, reaction(s): "suspected covid-19", "suspected covid-19"; bnt162b2 (dose 1, single; lot number: unknown), for covid-19 immunisation, reaction(s): "suspected covid-19", "suspected covid-19". the following information was reported: alopecia (disability, medically significant), outcome "not recovered", described as "hair loss"; heavy menstrual bleeding (disability, medically significant) with onset 06jan2022, outcome "not recovered", described as "heavy periods"; fatigue (disability, medically significant), outcome "unknown", described as "fatigue/unusual tiredness"; pyrexia (disability, medically significant), outcome "unknown", described as "fever". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. the report of the patient was related to possible inflammation of the heart (myocarditis or pericarditis) however, the symptoms did not lead to a hospital stay and diagnosis was not made by a medical professional. no blood tests, such as for certain proteins (called troponin) that signal heart muscle damage were taken. the patient was not enrolled in clinical trial. 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
heavy menstrual bleeding fatigue alopecia pyrexia 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?
Yes
Allergies:
na
Current Illness
suspected covid-19 (unsure when symptoms started)