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VAERS Report 2156885

Case Report Section

Vaer Report Details

Age: 53 years old

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fe1510


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-07-18
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

frozen shoulder due to trauma in muscle; feels like body is overly hot/ localised feeling of warmth; she keeps dropping things; drug ineffective; suspected covid-19/ sars-cov-2 infection; cold feet/ cold hands & feet; breathlessness; headache; chronic wheezing; blurred vision; vaccination site pain; leg cramps/ bad cramps in leg feet when lying bed; loss of memory; weakness; eyelid twitching; stiff joint; stomach pain; nausea; this is a spontaneous report received from a contactable reporter(s) (consumer) from the regulatory agency (ra) and product quality group. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202231630110610-oiyft (ra). other case identifier(s): gb-mhra-adr 26641459 (ra). a 53 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administration date 18jul2021 (lot number: fe1510) at the age of 53 years as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. patient was unsure that whether she had symptoms associated with covid-19. patient did not have a covid-19 test. patient was not currently breastfeeding. concomitant medication(s) included: levothyroxine. the following information was reported: drug ineffective (disability, medically significant) with onset 24sep2021, outcome "recovered" (31oct2021), described as "drug ineffective"; suspected covid-19 (disability, medically significant) with onset 24sep2021, outcome "recovered" (31oct2021), described as "suspected covid-19/sars-cov-2 infection"; periarthritis (disability, medically significant), outcome "not recovered", described as "frozen shoulder due to trauma in muscle"; dyspnoea (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "breathlessness"; headache (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "headache"; wheezing (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "chronic wheezing"; vision blurred (disability, medically significant) with onset 18jul2021, outcome "recovered" (18nov2021), described as "blurred vision"; vaccination site pain (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "vaccination site pain"; muscle spasms (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "leg cramps/ bad cramps in leg feet when lying bed"; amnesia (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "loss of memory"; asthenia (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "weakness"; blepharospasm (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "eyelid twitching"; joint stiffness (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "stiff joint"; abdominal pain upper (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "stomach pain"; nausea (disability, medically significant) with onset 18jul2021, outcome "not recovered", described as "nausea"; peripheral coldness (disability, medically significant) with onset 19jul2021, outcome "not recovered", described as "cold feet/ cold hands & feet"; feeling hot (disability, medically significant), outcome "unknown", described as "feels like body is overly hot/ localised feeling of warmth"; coordination abnormal (disability, medically significant), outcome "unknown", described as "she keeps dropping things". the patient underwent the following laboratory tests and procedures: ultrasound scan: unknown result, notes: more information available: no. therapeutic measures were taken as a result of periarthritis, dyspnoea, headache, wheezing, vision blurred, vaccination site pain, muscle spasms, amnesia, asthenia, blepharospasm, joint stiffness, abdominal pain upper, nausea, peripheral coldness, feeling hot, coordination abnormal. patient complained that she keeps dropping things and she had bad cramps in leg and feet when lying on bed. she also believes that this causes frozen shoulder due to trauma in muscle, which she did not know until scan had been given 27feb2022. she felt like body was overly hot; and then hands and feet were freezing cold. patient had changed diet as well and wished she should not have gotten vaccine. when she made this report yesterday, she was asked if she had taken any painkillers and she said no but then she remembered when she went to bed last night that she had been taking painkillers for her arm and would like to let know in case this makes a difference to information. the tablets she took were diclofenac, amitriptyline, co-codamol and diazepam and she took these all together before bed for a few nights in a row but still woke up with the pain. patient was not enrolled in clinical trial. this report was not related to possible inflammation of the heart (myocarditis or pericarditis). patient was undergoing physio and ultrasound on arm. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200329268 same patient, same product and different event

Lab Data
test name: ultrasound scan; result unstructured data: test result:unknown result; comments: more information available: no
List of symptoms
drug ineffective wheezing nausea headache feeling hot asthenia muscle spasms coordination abnormal amnesia joint stiffness vision blurred dyspnoea abdominal pain upper periarthritis vaccination site pain peripheral coldness ultrasound scan blepharospasm suspected covid-19
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