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VAERS Report 2157046

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
2021-05-08
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

blood disorder nos; urine abnormal nos; cramps; vaccination site pain; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: gr-greof-20217536 (ra). a 67 year-old female patient received bnt162b2 (comirnaty), administration date 08may2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: blood disorder (medically significant), outcome "unknown", described as "blood disorder nos"; urine analysis abnormal (medically significant), outcome "unknown", described as "urine abnormal nos"; muscle spasms (medically significant), outcome "unknown", described as "cramps"; vaccination site pain (non-serious), outcome "recovered", described as "vaccination site pain". the patient underwent the following laboratory tests and procedures: blood test: unknown results, notes: different values from the previous times (at the same month with the month she got the vaccine, on may 2021); urine analysis: unknown results, notes: different values from the previous times (at the same month with the month she got the vaccine, on may 2021). therapeutic measures were taken as a result of vaccination site pain (with 20 pills of norgesic after a physician's advice). no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test name: blood analysis; result unstructured data: test result:unknown results; comments: different values from the previous times (at the same month with the month she got the vaccine, on may 2021); test name: urine analysis; result unstructured data: test result:unknown results; comments: different values from the previous times (at the same month with the month she got the vaccine, on may 2021)
List of symptoms
urine analysis abnormal blood disorder muscle spasms urine analysis vaccination site pain blood test
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