Adverse Event Reporting

VAERS ID 923155
Gender Female
Age
StateCode FR
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EJ0553
Number of vaccinations
Vaccinated 2020-12-15
Onset 2020-12-15
Condition Permanent Disability
Symptoms
  • Pyrexia
  • Headache
  • Chills
  • Pain
  • SARS-CoV-2 test
  • Feeling cold

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Test Date: 20201208; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test

Write-up

Feeling cold; Pain; Fever chills; Fever chills; Headache; This is a spontaneous report from a contactable consumer downloaded from the regulatory authority-WEB GB-MHRA-APPCOVID-20201216174848 Safety Report Unique Identifier GB-MHRA-ADR 24544003.
An adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number EJ0553, expiry date not provided via an unspecified route of administration on 15Dec2020 at single dose for COVID-19 immunisation.
The patient medical history was not reported.
The patient's concomitant medications were not reported.
The patient experienced feeling cold on an unspecified date, fever chills on 15Dec2020, headache on 15Dec2020, pain on an unspecified date.
The events were disability and medically significant.
The patient underwent lab tests and procedures which included COVID-19 virus test: no - negative covid-19 test on 08Dec2020.
Unsure if patient had had symptoms associated with COVID-19 Patient was not enrolled in clinical trial.
Patient was not pregnant.
Patient hadn't been investigations yet.
The outcome of events fever chills, headache was not recovered while for other events was unknown.
No follow-up attempts possible.
No further information expected.