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VAERS Report 2157371

Case Report Section

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