1934363

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Nausea, Syncope, Tremor, Unresponsive to stimuli, Vomiting
VAERS_ID:
1934363
CATEGORY:
2021
RECVDATE:
08 December 2021
STATE:
FR
AGE_YRS:
17.00
CAGE_YR:
CAGE_MO:
SEX:
F
RPT_DATE:
SYMPTOM_TEXT:
vomiting gastric juice; trembling; fainted and did not respond for a few seconds; fainted and did not respond for a few seconds; nausea; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the parent. A 17 year-old female patient (not pregnant) received bnt162b2 (COMIRNATY), administered in arm left, administration date 22Oct2021 10:15 (Lot number: FE4728, Expiration Date: 31Jan2022) at the age of 17 years as DOSE 1, SINGLE for covid-19 immunisation. Relevant medical history included: "diagnosed with COVID-19" (unspecified if ongoing), notes: Prior to vaccination. The patient's concomitant medications were not reported. The following information was reported: SYNCOPE (medically significant), UNRESPONSIVE TO STIMULI (medically significant) all with onset 23Oct2021 10:15, outcome "not recovered" and all described as "fainted and did not respond for a few seconds"; NAUSEA (non-serious) with onset 23Oct2021 10:15, outcome "not recovered", described as "nausea"; VOMITING (non-serious) with onset 24Nov2021, outcome "not recovered", described as "vomiting gastric juice"; TREMOR (non-serious) with onset 24Nov2021, outcome "not recovered", described as "trembling". The events "fainted and did not respond for a few seconds", "fainted and did not respond for a few seconds", "nausea", "vomiting gastric juice" and "trembling" were evaluated at the physician office visit and emergency room visit. Therapeutic measures were not taken as a result of syncope, unresponsive to stimuli, nausea, vomiting, tremor. Clinical course: The patient's mother reported that her daughter fainted and was unresponsive twice, on 23Oct2021 and on 24Nov2021, and on both times it was accompanied by the reported events "nausea", second time including "vomiting" and "trembling". The patient was not Sars-Cov-2 tested post vaccination.
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
VAX_DATE:
21 October 2021
ONSET_DATE:
22 October 2021
NUMDAYS:
1
LAB_DATA:
V_ADMINBY:
OTH
V_FUNDBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: COVID-19 (Prior to vaccination)
PRIOR_VAX:
SPLTTYPE:
ROPFIZER INC202101661259
FORM_VERS:
2
TODAYS_DATE:
06 December 2021
BIRTH_DEFECT:
OFC_VISIT:
Y
ER_ED_VISIT:
Y
ALLERGIES:
VAX_TYPE:
COVID19
VAX_MANU:
PFIZER\BIONTECH
VAX_LOT:
FE4728
VAX_DOSE_SERIES:
1
VAX_ROUTE:
VAX_SITE:
LA
VAX_NAME:
COVID19 (COVID19 (PFIZER-BIONTECH))