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