Vaer Report Details
Age: 49 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
- 2021-12-17
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
bloating nos; persistent asthenia; disorder equilibrium; dizziness; back ache; heavy menstrual bleeding / abundant menstrual flow; breast swelling; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the agency regulatory authority-web. regulatory number: it-minisal02-843549. a 49 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 17dec2021 (lot number: fk6304) at the age of 49 years as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: abdominal distension (medically significant) with onset 17dec2021, outcome "not recovered", described as "bloating nos"; asthenia (medically significant) with onset 17dec2021, outcome "not recovered", described as "persistent asthenia"; balance disorder (medically significant) with onset 17dec2021, outcome "not recovered", described as "disorder equilibrium"; dizziness (medically significant) with onset 17dec2021, outcome "not recovered", described as "dizziness"; back pain (medically significant) with onset 17dec2021, outcome "not recovered", described as "back ache"; heavy menstrual bleeding (medically significant) with onset 17dec2021, outcome "not recovered", described as "heavy menstrual bleeding / abundant menstrual flow"; breast swelling (non-serious) with onset 17dec2021, outcome "not recovered", described as "breast swelling". no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200307311 same patient / drug, different dose / events;it-pfizer inc-202200307311 same patient / drug, different dose / events
- Lab Data
-
na
- List of symptoms
-
heavy menstrual bleeding back pain asthenia dizziness balance disorder abdominal distension breast swelling
- 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