Vaer Report Details
Age: NA
Gender: Unknown
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
- 2021-12-16
- Date of Onset
- 16
- Number of days (onset date – vaccination date)
- 16
- Adverse Event Description
-
difficulty walking; lower limb paraesthesia, resolved after 5 days; lower limb pain, not yet resolved; lower back pain, not yet resolved; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-842966. a 53 year-old patient received bnt162b2 (comirnaty), intramuscular, administration date 16dec2021 (lot number: fk6304) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. the following information was reported: gait inability (hospitalization) with onset 01jan2022, outcome "recovering", described as "difficulty walking"; paraesthesia (hospitalization) with onset 01jan2022, outcome "recovered" (06jan2022), described as "lower limb paraesthesia, resolved after 5 days"; pain in extremity (hospitalization) with onset 01jan2022, outcome "not recovered", described as "lower limb pain, not yet resolved"; back pain (hospitalization) with onset 01jan2022, outcome "not recovered", described as "lower back pain, not yet resolved". no follow-up attempts are possible. no further information is expected
- Lab Data
-
na
- List of symptoms
-
paraesthesia back pain pain in extremity gait inability
- Patient Died?
- No
- Date Died
- NA
- Birth defect
- false
- Vaccine Administered By:
- Other
- Vaccine Purchased By:
- Unknown
- Patient visit ER?
- No
- Patient Hospitalized?
- Yes
- Stay in hospital
- No
- Days in hospital
- Unspecified
- Permanent disability?
- No
- Allergies:
-
na
- Current Illness
-
na