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VAERS Report 2157085

Case Report Section

Vaer Report Details

Age: 38 years old

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
2021-08-09
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

left breast lymph node swelling; menstrual cycle interrupted; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: gr-greof-202200855 (ra). a 38 year-old female patient received bnt162b2 (comirnaty), administration date 09aug2021 (batch/lot number: unknown) at the age of 38 years as dose 2, single for covid-19 immunisation. the patient had no relevant medical history. there were no concomitant medications. vaccination history included: covid-19 vaccine (dose 1), for covid-19 immunisation. the following information was reported: menstrual disorder (medically significant) with onset 09aug2021, outcome "recovered" (21dec2021), described as "menstrual cycle interrupted"; lymphadenopathy (non-serious), outcome "unknown", described as "left breast lymph node swelling". additional information: no alcohol, no smoker, no medical history, no other drugs. the patient presented menstrual cycle interruption, until then she had a 28 days cycle. also, she presented left breast lymph node swelling. 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
menstrual disorder lymphadenopathy
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