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VAERS Report 2157055

Case Report Section

Vaer Report Details

Age: 48 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
2021-09-02
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

hypotension; paroxysmal cough; possible allergy; intense weakness; myalgia; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: gr-greof-20217674 (ra). a 48 year-old female patient received bnt162b2 (comirnaty), administration date 02sep2021 (batch/lot number: unknown) at the age of 48 years as dose 1, single for covid-19 immunization. relevant medical history included: "pollen allergy" (unspecified if ongoing), notes: pollen allergy (paroxysmal intense cough); "hypothyroidism" (unspecified if ongoing). concomitant medication(s) included: t4 taken for hypothyroidism, start date: 01sep2008. the following information was reported: hypotension (hospitalization) with onset 02sep2021, outcome "recovering", described as "hypotension"; cough (hospitalization) with onset 02sep2021, outcome "recovering", described as "paroxysmal cough"; hypersensitivity (hospitalization) with onset 02sep2021, outcome "recovering", described as "possible allergy"; asthenia (hospitalization) with onset 02sep2021, outcome "recovering", described as "intense weakness"; myalgia (hospitalization) with onset 02sep2021, outcome "recovering", described as "myalgia". the events "hypotension", "paroxysmal cough", "possible allergy", "intense weakness" and "myalgia" were evaluated at the emergency room visit. the patient underwent the following laboratory tests and procedures: cardiac function test: without abnormal findings; pulmonary function test: without abnormal findings. therapeutic measures were taken as a result of hypotension, cough, hypersensitivity, asthenia, myalgia. it was reported that, the patient was admitted to the er. she was administered normal solution, feistily, solu cortef 250 mg iv. adrenaline was not administered. pulmonary and cardiological examination without abnormal findings. during her hospitalization she was hemodynamically stable with paroxysmal cough (under treatment with antihistamines per os), in remission within 48 hours and intense weakness and myalgia. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test name: cardiological examination; result unstructured data: test result:without abnormal findings; test name: pulmonary examination; result unstructured data: test result:without abnormal findings
List of symptoms
asthenia cough hypersensitivity myalgia hypotension pulmonary function test cardiac function test
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
Yes
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na