Vaer Report Details
Age: 86 years old
Gender: Female
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Type: Coronavirus 2019 vaccine
Manufacturer: PFIZER
Lot: unknown
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-12-28
- Date of Onset
- 2
- Number of days (onset date – vaccination date)
- 2
- Adverse Event Description
-
breathing difficulties; pain in the arms; pressure increase until 220/120; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-843111. an 86-year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 28dec2021 (lot number: unknown) at the age of 86 years as dose 1, 0.3 ml, single for covid-19 immunisation. relevant medical history included: "renal failure" (unknown if ongoing); "hypertension" (unknown if ongoing). the patient's concomitant medications were not reported. the following information was reported: blood pressure increased (hospitalization) with onset 30dec2021, outcome "recovering", described as "pressure increase until 220/120"; dyspnoea (hospitalization) with onset 06jan2022, outcome "unknown", described as "breathing difficulties"; pain in extremity (hospitalization) with onset 06jan2022, outcome "unknown", described as "pain in the arms". the events "pressure increase until 220/120", "breathing difficulties" and "pain in the arms" were evaluated at the emergency room visit. the patient underwent the following laboratory tests and procedures: blood pressure: (06jan2022) 220/120 mmhg. reporter comment: the patient who showed the adverse reaction is my mother: privacy born on privacy. on 28dec2021 she received the first dose of pfizer vaccine, in the following days her blood pressure, which was successfully controlled for more than twenty years, showed alterations with a slow increase until reaching a peak of 220/120 on 6 january, with breathing difficulties and pain in the arms. she was immediately transported to the emergency room in privacy and hospitalized for all symptoms no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: the patient who showed the adverse reaction is my mother: privacy born on privacy. on 28dec2021 she received the first dose of pfizer vaccine, in the following days her blood pressure, which was successfully controlled for more than twenty years, showed alterations with a slow increase until reaching a peak of 220/120 on 6 january, with breathing difficulties and pain in the arms. she was immediately transported to the emergency room in privacy and hospitalized for all symptoms
- Lab Data
-
test date: 20220106; test name: blood pressure; result unstructured data: test result:220/120 mmhg
- List of symptoms
-
pain in extremity dyspnoea blood pressure increased blood pressure measurement
- 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