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VAERS Report 2157179

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
2021-08-01
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

fainting and loss of consciousness; fainting and loss of consciousness; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp). a 13 year-old male patient received bnt162b2 (bnt162b2), administration date aug2021 (batch/lot number: unknown) as dose 2, single and administration date aug2021 (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: loss of consciousness (medically significant), syncope (medically significant), outcome "unknown" and all described as "fainting and loss of consciousness". clinical course: the doctors are unable to understand what is the reason for events and whether it is from the vaccine. they think that teens have a cardiological problem from the vaccine. the lot number for bnt162b2 was not provided and will be requested during follow up

Lab Data
na
List of symptoms
syncope loss of consciousness
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