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VAERS Report 2157065

Case Report Section

Vaer Report Details

Age: NA

Gender: Male

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
2021-12-06
Date of Onset
4
Number of days (onset date – vaccination date)
4
Adverse Event Description

fever/37.2-38 degree celsius; redness over face, ears; this is a spontaneous report received from a contactable reporter (consumer) from the ra-web. regulatory number: gr-greof-202200468. a 14-year-old male patient received bnt162b2 (comirnaty), administration date 06dec2021 (lot number: unknown) as dose 1, single and administration date 28dec2021 (lot number: unknown) as dose 2, single for covid-19 immunization. relevant medical history included: "g-6 pd deficiency" (ongoing). the patient's concomitant medications were not reported. on 10dec2021, the patient had fever 37.2-38 degree celsius with redness over face, ears (2 times after the first dose). it was mentioned that the events occurred again 2 times after the second dose. events were considered as serious (disabling). the patient then recovered from the events on 14jan2022. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test date: 20211210; test name: body temperature; result unstructured data: test result:37.2-38 centigrade
List of symptoms
erythema pyrexia body temperature
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
g-6 pd deficiency