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VAERS Report 2157375

Case Report Section

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