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