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: unknown
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
laboured breathing; exhaustion; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: it-minisal02-843598. a 29 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm right (batch/lot number: unknown) as dose number unknown, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: dyspnoea (disability) with onset 14feb2022, outcome "not recovered", described as "laboured breathing"; fatigue (disability) with onset 14feb2022, outcome "not recovered", described as "exhaustion". the patient underwent the following laboratory tests and procedures: quality of life decreased: 10/10. therapeutic measures were taken as a result of dyspnoea, fatigue. the patient stated that (the doctor instructed me to rest and take tachipirina if i experience more severe symptoms. at the moment i continue to feel ill). impact on quality of life (10/10). immediately after the administration of the covid-19 vaccine, he began to suffer from severe exhaustion and breathing problems. specifically, he could not even go up a flight of stairs no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Lab Data
-
test name: quality of life decreased; result unstructured data: test result:10/10
- List of symptoms
-
fatigue dyspnoea quality of life decreased
- 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