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VAERS Report 2156970

Case Report Section

Vaer Report Details

Age: 40 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
2021-03-17
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

changes to menstrual cycle; heavy bleeding, large clots passed, no change to length of cycle; inappropriate schedule of vaccine administered; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. a 40 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administration date 17mar2021 (batch/lot number: unknown) at the age of 40 years as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: bnt162b2 (first dose), administration date: 06jan2021, for covid-19 immunisation, reaction(s): "heavy bleeding"; bnt162b2 (first dose), administration date: 06jan2021, for covid-19 immunisation, reaction(s): "heavy periods". the following information was reported: heavy menstrual bleeding (medically significant), outcome "not recovered", described as "changes to menstrual cycle; heavy bleeding, large clots passed, no change to length of cycle"; inappropriate schedule of product administration (non-serious) with onset 17mar2021, outcome "unknown", described as "inappropriate schedule of vaccine administered". patient has not had symptoms associated with covid-19, patient is not pregnant, patient is not currently breastfeeding. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200306604 same drug, patient/ different dose, event;gb-pfizer inc-202200290228 same patient/vaccine product, different events

Lab Data
test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test
List of symptoms
heavy menstrual bleeding inappropriate schedule of product administration 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?
No
Allergies:
na
Current Illness
na