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VAERS Report 2156943

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
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

pain; allergy; sore throat; runny nose; blocked nose; itchy eyes; caused my asthma to get worse; lump in my arm; my arm has never recovered and i often feel pain; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). the reporter is the patient. regulatory number: gb-mhra-webcovid-202202272030465950-c2jep (ra). other case identifier(s): gb-mhra-adr 26657270 (ra). a female patient received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "asthma" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1; manufacturer unknown), for covid-19 immunisation. the patient was young fit and healthy. the patient had no symptoms associated with covid-19 and was not enrolled in the clinical trial. the following information was reported: pain (disability), outcome "recovered", described as "pain"; hypersensitivity (disability), outcome "not recovered", described as "allergy"; the patient since having her vaccines, she developed allergies to everything, she woke up every morning with oropharyngeal pain (disability), outcome "unknown", described as "sore throat", rhinorrhoea (disability), outcome "unknown", described as "runny nose", nasal obstruction (disability), outcome "unknown", described as "blocked nose", eye pruritus (disability), outcome "unknown", described as "itchy eyes"; it caused her asthma (disability), outcome "unknown", described as "asthma to get worse", she had to use an inhaler daily and she always developed limb mass (disability), outcome "not recovered", described as "lump in arm" on her second dose, which affected the use of her arm, she further stated that pain in extremity (disability), outcome "not recovered", described as "arm has never recovered and she often feel pain". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. therapeutic measures were taken as a result of asthma. 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
eye pruritus pain in extremity pain asthma rhinorrhoea hypersensitivity oropharyngeal pain nasal obstruction sars-cov-2 test limb mass
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