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
- 2021-05-08
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
blood disorder nos; urine abnormal nos; cramps; vaccination site pain; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: gr-greof-20217536 (ra). a 67 year-old female patient received bnt162b2 (comirnaty), administration date 08may2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: blood disorder (medically significant), outcome "unknown", described as "blood disorder nos"; urine analysis abnormal (medically significant), outcome "unknown", described as "urine abnormal nos"; muscle spasms (medically significant), outcome "unknown", described as "cramps"; vaccination site pain (non-serious), outcome "recovered", described as "vaccination site pain". the patient underwent the following laboratory tests and procedures: blood test: unknown results, notes: different values from the previous times (at the same month with the month she got the vaccine, on may 2021); urine analysis: unknown results, notes: different values from the previous times (at the same month with the month she got the vaccine, on may 2021). therapeutic measures were taken as a result of vaccination site pain (with 20 pills of norgesic after a physician's advice). no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Lab Data
-
test name: blood analysis; result unstructured data: test result:unknown results; comments: different values from the previous times (at the same month with the month she got the vaccine, on may 2021); test name: urine analysis; result unstructured data: test result:unknown results; comments: different values from the previous times (at the same month with the month she got the vaccine, on may 2021)
- List of symptoms
-
urine analysis abnormal blood disorder muscle spasms urine analysis vaccination site pain blood 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