Adverse Event Reporting

VAERS ID 903010
Gender Male
Age
StateCode WV
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations 1
Vaccinated 2020-12-17
Onset 2020-12-17
Condition
Symptoms
  • Confusional state
  • Visual impairment
  • Slow response to stimuli

Current Illness

UTI

Preexisting Conditions

yes

Other Medications

yes.

Previous Vaccinations

Allergies

kna

Laboratory Data

Pulse ox 100 no sob bp 125/67 Pulse 58

Write-up

After receiving vaccine patient started complain of vision disturbance, confusion, nurses started he was slow to respond.
Nurses also documented that he was acting the same way the day before due to UTI.
No SOB .
no signs of allergic reaction