Page breadcrumb nav

VAERS Report 2157062

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
2021-12-04
Date of Onset
3
Number of days (onset date – vaccination date)
3
Adverse Event Description

pericardial effusion; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority web. regulatory number: gr-greof-202200440 a 28 year-old female patient received bnt162b2 (comirnaty), administration date 04dec2021 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1; manufactuerer unknown), for covid-19 immunisation. the following information was reported: pericardial effusion (medically significant) with onset 07dec2021, outcome "recovered" (17jan2022), described as "pericardial effusion". no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
na
List of symptoms
pericardial effusion
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