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VAERS Report 2156874

Case Report Section

Vaer Report Details

Age: 41 years old

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
2021-12-29
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

stomach distension; pain in abdomen; sore breasts; no periods/ menstruation since vaccination; irregular periods; 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-202202222058161940-ah5tg. other case identifier(s): gb-mhra-adr 26636242. a 41 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 29dec2021 (batch/lot number: unknown) at the age of 41 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "panic attack" (unspecified if ongoing); "immunodeficiency" (unspecified if ongoing), notes: has an illness or condition, not listed above, which reduces the immune response (e.g. immunodef... the patient did not have symptoms associated with covid-19 and was not enrolled in clinical trial. the patient was not pregnant and was not breast feeding at the time of this report. concomitant medication(s) included: sertraline taken for panic attack. vaccination history included: bnt162b2 (dose 2, single), for covid-19 immunization, reaction(s): "abdominal distension", "abdominal pain", "amenorrhoea", "sore breasts"; bnt162b2 (dose 1, single), for covid-19 immunization, reaction(s): "abdominal distension", "abdominal pain", "amenorrhoea"; bnt162b2 (dose 1, single.), for covid-19 immunization, reaction(s): "sore breasts". the following information was reported: abdominal distension (disability, medically significant), outcome "not recovered", described as "stomach distension"; menstruation irregular (disability, medically significant) with onset 29dec2021, outcome "not recovered", described as "irregular periods"; abdominal pain (disability, medically significant), outcome "unknown", described as "pain in abdomen"; breast pain (disability, medically significant), outcome "unknown", described as "sore breasts"; amenorrhoea (disability, medically significant) with onset 29dec2021, outcome "unknown", described as "no periods/ menstruation since vaccination". clinical course: the patient had no other cause. stomach distension, pain in abdomen and sore breasts constantly since the time menstruation should have occurred. experienced the same for all vaccinations, no menstruation for several months after all doses. 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
na
List of symptoms
menstruation irregular amenorrhoea abdominal pain breast pain abdominal distension
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