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VAERS Report 2157169

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: fn4071


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-07
Date of Onset
1
Number of days (onset date – vaccination date)
1
Adverse Event Description

inappropriate age at vaccine administration; severe itchiness in lower body for over 2 weeks; severe tiredness for over 2 weeks / not normal for 10 year old sports boy to be tired all the time; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra. -web. regulatory number: ie-hpra-2022-093056. other case identifier(s): ie-hpra-cvarr2022021425800. a 10 year-old male patient received bnt162b2 (comirnaty), administration date 07jan2022 (lot number: fn4071) as dose 1, 10ug single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: pruritus (medically significant) with onset 08jan2022, outcome "recovered" (2022), described as "severe itchiness in lower body for over 2 weeks"; fatigue (medically significant) with onset 08jan2022, outcome "recovered" (2022), described as "severe tiredness for over 2 weeks / not normal for 10 year old sports boy to be tired all the time"; product administered to patient of inappropriate age (non-serious), outcome "unknown", described as "inappropriate age at vaccine administration". therapeutic measures were taken as a result of pruritus, fatigue.1 day later on 08jan2022, the patient experienced severe itchiness in lower body and severe tiredness, persisting for over 2 weeks. the reporter commented that it was not normal for a 10-year-old sporty boy to be tired all the time. the patient was treated with zyrtec. no follow-up attempts are possible. no further information is expected

Lab Data
na
List of symptoms
pruritus fatigue product administered to patient of inappropriate age
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