Adverse Event Reporting

VAERS ID 902691
Gender Male
Age 39
StateCode
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations
Vaccinated 2020-12-14
Onset 2020-12-01
Condition
Symptoms
  • Pain

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Pain; This is a spontaneous report from a non-contactable physician.
A 39-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), via an unspecified route of administration on 14Dec2020 at 12:00 (at the age of 39-years-old) as a single dose for COVID-19 immunization.
The patient's medical history and concomitant medications were not reported.
On an unknown date in Dec2020, the patient experienced pain.
The clinical outcome of the pain was unknown.
No follow-up attempts are possible; information about lot number cannot be obtained.