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: fa4598
- Date report was received
- 2022-02-24
- Date form completed
- Date Vaccinated
- 2021-05-17
- Date of Onset
- 2
- Number of days (onset date – vaccination date)
- 2
- Adverse Event Description
-
upper eyelid ptosis left; after the 2nd vaccination left-sided facial paralysis; myasthenia gravis; double vision left eye; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: at-basgages-2022-011641 . a 63 year-old male patient received bnt162b2 (comirnaty), administration date 17may2021 (lot number: fa4598) 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, single), for covid-19 immunisation. the following information was reported: eyelid ptosis (medically significant) with onset 19may2021, outcome "recovered", described as "upper eyelid ptosis left"; facial paralysis (medically significant) with onset 19may2021, outcome "recovered", described as "after the 2nd vaccination left-sided facial paralysis"; myasthenia gravis (medically significant) with onset 19may2021, outcome "recovered", described as "myasthenia gravis"; diplopia (medically significant) with onset 19may2021, outcome "recovered", described as "double vision left eye". no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : -pfizer inc-202200259281 2nd/3rd dose
- Lab Data
-
na
- List of symptoms
-
eyelid ptosis diplopia facial paralysis myasthenia gravis
- 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?
- No
- Allergies:
-
na
- Current Illness
-
na