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VAERS Report 2157338

Case Report Section

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: 1f1005a


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-11-23
Date of Onset
5
Number of days (onset date – vaccination date)
5
Adverse Event Description

cervical myelitis; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority web. regulatory number: it-minisal02-843014. a 38 year-old male patient received bnt162b2 (comirnaty), administration date 23nov2021 (lot number: 1f1005a) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1), for covid-19 immunisation; comirnaty (dose 2), for covid-19 immunisation. the following information was reported: myelitis (hospitalization) with onset 28nov2021, outcome "recovered with sequelae", described as "cervical myelitis". the patient underwent the following laboratory tests and procedures: lumbar puncture: unknown results. actions taken (diagnostic workup, including rachycentesis, high-dose steroid therapy intravenous, neuromotor rehabilitation clinical and radiological follow-up). no follow-up attempts are possible. no further information is expected

Lab Data
test name: rachycentesis; result unstructured data: test result:unknown results
List of symptoms
myelitis lumbar puncture
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