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VAERS Report 2157078

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
2021-08-24
Date of Onset
5
Number of days (onset date – vaccination date)
5
Adverse Event Description

haematuria; atonia; diarrhea; abdominal pain; vomiting; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. a 32 year-old female patient received bnt162b2 (comirnaty), administration date 24aug2021 (lot number: unknown) as dose 1, single and administration date 14sep2021 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. the patient had no relevant medical history. the patient's concomitant medications were not reported. the following information was reported: haematuria (disability, medically significant) with onset 29aug2021, outcome "not recovered", described as "haematuria"; hypotonia (disability, medically significant) with onset 29aug2021, outcome "not recovered", described as "atonia"; diarrhoea (disability, medically significant) with onset 29aug2021, outcome "not recovered", described as "diarrhea"; abdominal pain (disability, medically significant) with onset 29aug2021, outcome "not recovered", described as "abdominal pain"; vomiting (disability, medically significant) with onset 29aug2021, outcome "not recovered", described as "vomiting". clinical course: the patient during the first 4 days felt intense atonia, on day 5 she presented vomiting and intense abdominal pain (burning sensation). 2 days later started diarrhea. on 14sep2021 she received the second dose of comirnaty and the symptoms became more intense (diarrhea). 2 months later, after the second dose, she presented haematuria. now she was under medication. no medical history. 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
diarrhoea vomiting hypotonia abdominal pain haematuria
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