Vaer Report Details
Age: NA
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
- 2021-07-14
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
development into hashimoto's thyroiditis; serious endocrine disruption; subacute thyroiditis; throat sore/ pulsations in the throat; chilliness/ constant chills; strong heat; lump formation; inappropriate schedule of vaccine administered; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-843660. a 45 year-old female patient received bnt162b2 (comirnaty, solution for injection), intramuscular, administration date 14jul2021 (lot number: unknown) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, lot unknown.), administration date: 19feb2021, for covid-19 immunization. the following information was reported: thyroiditis subacute (disability) with onset 01aug2021, outcome "not recovered", described as "subacute thyroiditis"; oropharyngeal pain (disability) with onset 01aug2021, outcome "not recovered", described as "throat sore/ pulsations in the throat"; feeling cold (disability) with onset 01aug2021, outcome "not recovered", described as "chilliness/ constant chills"; feeling hot (disability) with onset 01aug2021, outcome "not recovered", described as "strong heat"; sensation of foreign body (disability) with onset 01aug2021, outcome "not recovered", described as "lump formation"; autoimmune thyroiditis (medically significant), outcome "unknown", described as "development into hashimoto's thyroiditis"; endocrine disorder (non-serious), outcome "unknown", described as "serious endocrine disruption"; inappropriate schedule of product administration (non-serious) with onset jul2021, outcome "unknown", described as "inappropriate schedule of vaccine administered". therapeutic measures were taken as a result of thyroiditis subacute, feeling hot, sensation of foreign body. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Lab Data
-
na
- List of symptoms
-
feeling hot oropharyngeal pain endocrine disorder inappropriate schedule of product administration sensation of foreign body feeling cold autoimmune thyroiditis thyroiditis subacute
- 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