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VAERS Report 2157288

Case Report Section

Vaer Report Details

Age: NA

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fd7959


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-06-26
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

bowel blood for 6 months; fatigue for 3 months.; sleepiness; headache after both doses; headache after both doses; inappropriate schedule of vaccine administered; 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: it-minisal02-842230. a 43 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 26jun2021 (lot number: fd7959) as dose 2, single for covid-19 immunisation. relevant medical history included: "vasculitis" (unspecified if ongoing); "vasculitis" (unspecified if ongoing); "hemochromatosis" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (1st dose, batch/ lot number: fa5831), administration date: 15may2021, for covid-19 immunisation, reaction(s): "tiredness", "sleepiness", "bloody discharge", "pain", "angina pectoris". the following information was reported: bloody discharge (medically significant) with onset 30jun2021, outcome "not recovered", described as "bowel blood for 6 months"; fatigue (non-serious) with onset 30jun2021, outcome "not recovered", described as "fatigue for 3 months."; somnolence (non-serious) with onset 30jun2021, outcome "not recovered", described as "sleepiness"; pain (non-serious) with onset 30jun2021, outcome "not recovered", headache (non-serious) with onset 30jun2021, outcome "unknown" and all described as "headache after both doses"; inappropriate schedule of product administration (non-serious) with onset 26jun2021, outcome "unknown", described as "inappropriate schedule of vaccine administered". the clinical course of events was as follows: actions taken (the gut softer oily and i saw blood) - impact on quality of life (7/10). event as reported: bowel blood for 6 months - drowsiness. headache after both doses ... pfitzer vaccine. i had severe angina pectoris 1 week after the first dose. fatigue for 3 months. reporter comment: vasculitis and hemochromatosis follow-up attempts are completed. no further information is expected.; reporter's comments: vasculitis and hemochromatosis; sender's comments: linked report(s) : it-pfizer inc-202200324661 1st/ 2nd dose

Lab Data
na
List of symptoms
fatigue headache pain somnolence inappropriate schedule of product administration bloody discharge
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