Adverse Event Reporting
| VAERS ID | 1178289 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | IL |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EN6205 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-03-01 |
| Onset | 2021-03-02 |
| Condition | Permanent Disability Recovered |
Symptoms
- Pyrexia
- Chills
- Asthenia
- Vomiting
- Alopecia
Current Illness
COPD (Mild COPD,Non smoking); Sinus disorder (Sinus issues)
Preexisting Conditions
Medical History/Concurrent Conditions: COVID-19
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Un usual Hair loss; Chills; Fever; Vomiting; Lack of Energy; This is a spontaneous report from a contactable consumer (patient).
A 74-year-old female patient received bnt162b2 (BNT162B2), dose 2 intramuscular, administered in Arm Right on 01Mar2021 10:50 (Batch/Lot Number: EN6205) as SINGLE DOSE for covid-19 immunisation.
Medical history included mild COPD from 2015 and ongoing, non-smoking, ongoing sinus issues, COVID-19 from Nov2020 to an unknown date.
The patient's concomitant medication was none.
The patient received dose 1 of vaccine on 08Feb021 11:00AM at Right Arm via Intramuscular (lot number: EM9810) and experienced Fever, Chills, Vomiting, Lack of Energy, Headache.
On 02Mar2021 13:00, the patient experienced Fever, Chills, Vomiting, Lack of Energy.
The events were assessed as serious, disabling.
Treatment Received includes Advil.
Also, for approximately two weeks after 2nd shot, the patient had unusual Hair loss.
The outcome of the events Fever, Chills, Vomiting, Lack of Energy was recovered on 04Mar2021; outcome oof unusual hair loss was unknown.