Vaer Report Details
Age: 60 years old
Gender: Female
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Type: Coronavirus 2019 vaccine
Manufacturer: PFIZER
Lot: fe2707
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-07-12
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
burning eyes; oculomotor spasm; hairy skin itching; migraine; facial paraesthesia; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-842718. a 60 year-old female patient (unknown if pregnant) received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 12jul2021 (lot number: fe2707) at the age of 60 years as dose 1, single for covid-19 immunisation. relevant medical history included: "primary hyperparathyroidism" (unspecified if ongoing); "migraine" (unspecified if ongoing); "pulmonary nodule under investigation" (unspecified if ongoing), notes: under investigation. the patient's concomitant medications were not reported. the following information was reported: eye irritation (medically significant) with onset 12jul2021, outcome "not recovered", described as "burning eyes"; oculogyric crisis (medically significant) with onset 12jul2021, outcome "not recovered", described as "oculomotor spasm"; pruritus (medically significant) with onset 12jul2021, outcome "not recovered", described as "hairy skin itching"; migraine (medically significant) with onset 12jul2021, outcome "not recovered", described as "migraine"; paraesthesia (medically significant) with onset 12jul2021, outcome "not recovered", described as "facial paraesthesia". the patient underwent the following laboratory tests and procedures: quality of life decreased: (2021) 8/10; specialist consultation: (2021) unknown results. on 14feb2022: the seriousness of the suspected adverse reaction is updated from "serious or permanent invalidity" to "serious-other clinically relevant condition". reporter comment: primary hyperparathyroidism - migraine - pulmonary nodule under investigation - no follow-up attempts are possible. no further information is expected
- Lab Data
-
test date: 2021; test name: impact on quality of life; result unstructured data: test result:8/10; test date: 2021; test name: visit to oculist; result unstructured data: test result:unknown results
- List of symptoms
-
paraesthesia pruritus migraine eye irritation quality of life decreased specialist consultation oculogyric crisis
- 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