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VAERS Report 2157395

Case Report Section

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: fp8191


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-28
Date of Onset
2
Number of days (onset date – vaccination date)
2
Adverse Event Description

serious blurring of vision; visual impairment; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-844530. a 62 year-old male patient received bnt162b2 (comirnaty), administered in deltoid right, administration date 28jan2022 (lot number: fp8191) as dose 1, single for covid-19 immunisation. relevant medical history included: "retinitis pigmentosa" (unknown if ongoing). the patient's concomitant medications were not reported. the following information was reported: visual impairment (disability) with onset 30jan2022, outcome "not recovered", described as "visual impairment"; vision blurred (non-serious), outcome "unknown", described as "serious blurring of vision". reporter comment: authorisation to contact caregiver. no follow-up attempts are possible. no further information is expected

Lab Data
na
List of symptoms
vision blurred visual impairment
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