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
- 2022-02-09
- Date of Onset
- 0
- Number of days (onset date – vaccination date)
- 0
- Adverse Event Description
-
otosclerosis; almost total loss of left ear hearing; increased tinnitus; off label use; interchange of vaccine products; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the medicines agency () -web. regulatory number: it-minisal02-844655 (minisal02). a 59 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm right, administration date 09feb2022 (batch/lot number: unknown) as dose 2 (pfizer initial), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: moderna (dose 1), for covid-19 immunisation. the following information was reported: hypoacusis (disability) with onset 11feb2022, outcome "not recovered", described as "almost total loss of left ear hearing"; tinnitus (disability) with onset 11feb2022, outcome "not recovered", described as "increased tinnitus"; otosclerosis (non-serious) with onset 11feb2022 22:15, outcome "unknown", described as "otosclerosis"; off label use (non-serious) with onset 09feb2022, outcome "unknown", described as "off label use"; interchange of vaccine products (non-serious) with onset 09feb2022, outcome "unknown", described as "interchange of vaccine products". reporter comment: vaccination with moderna as the first dose. - no flu vaccination was carried out - concomitant conditions: bilateral otosclerosis with tinnitus - reaction time: 22:15 - posted by vigicovid19-tab. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: vaccination with moderna as the first dose. - no flu vaccination was carried out - concomitant conditions: bilateral otosclerosis with tinnitus - reaction time: 22:15 - posted by vigicovid19-tab
- Lab Data
-
na
- List of symptoms
-
tinnitus otosclerosis hypoacusis interchange of vaccine products off label use
- 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