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VAERS Report 2157316

Case Report Section

Vaer Report Details

Age: 36 years old

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fk6304


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-13
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

in the evening fainting; alteration of the cycle already from the second administration; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: it-minisal02-842794. a 36 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 13jan2022 15:30 (lot number: fk6304, expiration date: 31jan2022) at the age of 36 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "allergy to nsaids" (unspecified if ongoing), notes: non-steroidal anti-inflammatory drugs; "food allergy" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1), for covid-19 immunization; comirnaty (dose 2), for covid-19 immunization, reaction(s): "irregular menstrual cycle". the following information was reported: syncope (medically significant) with onset 13jan2022, outcome "not recovered", described as "in the evening fainting"; menstruation irregular (non-serious) with onset 13jan2022, outcome "not recovered", described as "alteration of the cycle already from the second administration". reporter comment: allergies to non-steroidal anti-inflammatory drugs and food, cycle problems after second and third dose until now additional information: impact on quality of life (9/10) no follow-up attempts are possible. no further information is expected.; reporter's comments: allergies to non-steroidal anti-inflammatory drugs and food, cycle problems after second and third dose until now; sender's comments: linked report(s) : it-pfizer inc-202200332085 same patient, different vaccine dose/event

Lab Data
na
List of symptoms
menstruation irregular syncope
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