Vaer Report Details
Age: NA
Gender: Female
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Type: Coronavirus 2019 vaccine
Manufacturer: PFIZER
Lot: fn6618
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2022-01-30
- Date of Onset
- 1
- Number of days (onset date – vaccination date)
- 1
- Adverse Event Description
-
impact on quality of life (5/10); left lymph node pain; gum redness; left lymph node enlargement; tender sinus; dysentery; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-843013. a 54 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 30jan2022 12:12 (lot number: fn6618) as dose 1, 0.3 ml single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: lymph node pain (disability) with onset 31jan2022, outcome "recovering", described as "left lymph node pain"; gingival erythema (disability) with onset 31jan2022, outcome "recovering", described as "gum redness"; lymphadenopathy (disability) with onset 31jan2022, outcome "recovering", described as "left lymph node enlargement"; sinus pain (disability) with onset 31jan2022, outcome "recovering", described as "tender sinus"; dysentery (disability) with onset 31jan2022, outcome "recovering", described as "dysentery"; quality of life decreased (disability), outcome "recovering", described as "impact on quality of life (5/10)". the patient underwent the following laboratory tests and procedures: quality of life decreased: impact on quality of life (5/10). therapeutic measures were taken as a result of lymph node pain, gingival erythema, lymphadenopathy, sinus pain, dysentery, quality of life decreased. reporter comment: no disease. no follow-up attempts are possible. no further information is expected
- Lab Data
-
test name: impact on quality of life; result unstructured data: test result:impact on quality of life (5/10)
- List of symptoms
-
dysentery lymphadenopathy lymph node pain quality of life decreased sinus pain gingival erythema
- 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?
- Yes
- Allergies:
-
na
- Current Illness
-
na