Page breadcrumb nav

VAERS Report 2157143

Case Report Section

Vaer Report Details

Age: 50 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
2021-06-25
Date of Onset
1
Number of days (onset date – vaccination date)
1
Adverse Event Description

loss of full movement (in the arm) ...since the jab in june / loss of movement / loss of full movement in my left arm; ongoing pain (in the arm)...since the jab in june; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority web. the reporter is the patient. regulatory number: ie-hpra-2022-092242 a 50 year-old female patient received bnt162b2 (comirnaty), administered in arm left, administration date 25jun2021 (batch/lot number: unknown) at the age of 50 years as dose 2, single for covid-19 immunisation. relevant medical history included: "covid-19", start date: jan2021 (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1), for covid-19 immunisation. the following information was reported: vaccination site movement impairment (disability) with onset 26jun2021, outcome "not recovered", described as "loss of full movement (in the arm) ...since the jab in june / loss of movement / loss of full movement in my left arm"; vaccination site pain (disability) with onset 26jun2021, outcome "not recovered", described as "ongoing pain (in the arm)...since the jab in june". the events "loss of full movement (in the arm) ...since the jab in june / loss of movement / loss of full movement in my left arm" and "ongoing pain (in the arm)...since the jab in june" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: x-ray limb: results were not provided. therapeutic measures were not taken as a result of vaccination site movement impairment, vaccination site pain. reporter comment: "on going pain and loss of full movement in the arm since it was jabbed (with pfizer) in jul2021 (also reported as june). loss of full movement in my left arm. i think it is a reaction from the vaccine." no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: "on going pain and loss of full movement in the arm since it was jabbed (with pfizer) in jul2021 (also reported as june). loss of full movement in my left arm. i think it is a reaction from the vaccine."

Lab Data
test name: x-ray limb; result unstructured data: test result:results were not provided
List of symptoms
vaccination site pain vaccination site movement impairment x-ray limb
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