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VAERS Report 2157345

Case Report Section

Vaer Report Details

Age: 86 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
2021-12-28
Date of Onset
2
Number of days (onset date – vaccination date)
2
Adverse Event Description

breathing difficulties; pain in the arms; pressure increase until 220/120; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-843111. an 86-year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 28dec2021 (lot number: unknown) at the age of 86 years as dose 1, 0.3 ml, single for covid-19 immunisation. relevant medical history included: "renal failure" (unknown if ongoing); "hypertension" (unknown if ongoing). the patient's concomitant medications were not reported. the following information was reported: blood pressure increased (hospitalization) with onset 30dec2021, outcome "recovering", described as "pressure increase until 220/120"; dyspnoea (hospitalization) with onset 06jan2022, outcome "unknown", described as "breathing difficulties"; pain in extremity (hospitalization) with onset 06jan2022, outcome "unknown", described as "pain in the arms". the events "pressure increase until 220/120", "breathing difficulties" and "pain in the arms" were evaluated at the emergency room visit. the patient underwent the following laboratory tests and procedures: blood pressure: (06jan2022) 220/120 mmhg. reporter comment: the patient who showed the adverse reaction is my mother: privacy born on privacy. on 28dec2021 she received the first dose of pfizer vaccine, in the following days her blood pressure, which was successfully controlled for more than twenty years, showed alterations with a slow increase until reaching a peak of 220/120 on 6 january, with breathing difficulties and pain in the arms. she was immediately transported to the emergency room in privacy and hospitalized for all symptoms no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: the patient who showed the adverse reaction is my mother: privacy born on privacy. on 28dec2021 she received the first dose of pfizer vaccine, in the following days her blood pressure, which was successfully controlled for more than twenty years, showed alterations with a slow increase until reaching a peak of 220/120 on 6 january, with breathing difficulties and pain in the arms. she was immediately transported to the emergency room in privacy and hospitalized for all symptoms

Lab Data
test date: 20220106; test name: blood pressure; result unstructured data: test result:220/120 mmhg
List of symptoms
pain in extremity dyspnoea blood pressure increased blood pressure measurement
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
Yes
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na