Adverse Event Reporting
| VAERS ID | 2093046 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | FD7958 |
| Number of vaccinations | |
| Vaccinated | |
| Onset | 2021-06-04 |
| Condition |
Symptoms
- Panic attack
- Insomnia
- Claustrophobia
- Faeces soft
- Ill-defined disorder
- Circulatory collapse
- Stool analysis
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Test Name: stool examination; Result Unstructured Data: Test Result:UNKNOWN RESULTS
Write-up
Soft stools; Circulatory collapse; Panic attack; Claustrophobia; Difficulty sleeping; Ill-defined disorder; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from the RA.
Regulatory number: DE-PEI-CADR2021195837.
Other Case identifier(s): DE-CADRPEI-2021195837 (RA Webportal), DE-PEI-202100217137.
A 58 year-old female patient received bnt162b2 (COMIRNATY), administration date 04Jun2021 (Lot number: 1D013A) as dose number unknown, single and (Lot number: FD7958) as dose number unknown, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported: CIRCULATORY COLLAPSE (medically significant) with onset 02Jul2021, outcome "not recovered", described as "Circulatory collapse"; PANIC ATTACK (non-serious) with onset 02Jul2021, outcome "not recovered", described as "Panic attack"; FAECES SOFT (non-serious) with onset 02Nov2021, outcome "not recovered", described as "Soft stools"; ILL-DEFINED DISORDER (non-serious) with onset 04Jun2021, outcome "recovered" (2021), described as "Ill-defined disorder"; CLAUSTROPHOBIA (non-serious) with onset 02Jul2021, outcome "not recovered", described as "Claustrophobia"; INSOMNIA (non-serious) with onset 02Jul2021, outcome "not recovered", described as "Difficulty sleeping".
The event "panic attack" was evaluated at the physician office visit.
The patient underwent the following laboratory tests and procedures: stool analysis: unknown results.
The result of assessment reported for the events 'Soft stools' and 'Difficulty sleeping' were D.
No follow-up attempts are possible.
No further information is expected.