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VAERS ID: 1934418

AGE: 15| SEX: F|State: FR

Description

CHEST PAIN; CHEST DISCOMFORT; OVERDOSE; This is a spontaneous report received from non-contactable reporter(s) (Other HCP) from License Party (BioNTech SE) and Regulatory Authority. Regulatory number: TW-TFDA-TVS-1100011021 (Center for Disease Control). Other Case identifier(s): TW-Fosun-2021FOS005443 (Regulatory Authority). This is a spontaneous report received from a non-contactable HCP received via Center for Disease Control. The regulatory authority report number is TW-TFDA-TVS-1100011021. A 15-year-old female patient received first dose of BNT162B2 (COMIRNATY) (batch number was not reported) on 18Oct2021 via Intramuscular as dose 1, 0.5 ml single (at the age of 15-year-old) for COVID-19 immunization (overdose). Medical history, concomitant medication and past product were not reported. On 19Oct2021, the patient experienced chest tightness, chest pain, chest discomfort. On 21Oct2021, the patient went to emergency for examination: 1. Cr: 0.6 mg/dL (eGFR: 143.6); 2.S-GOT: 14 U/L; 3.S-GPT: 5 U/L; 4.tro-I: 33.9. On an unspecified date, the patient discharged. Chest tightness, chest pain, chest discomfort met the seriousness criterion of Caused Hospitalisation. At the time of the report, the outcomes of the events were unknown. Initial report was received on 24Nov2021. Drug: Comirnaty Causality Assessments: Chest pain, Chest discomfort, Overdose Per Reporter= Possible Per Company (BioNTech SE) = Possible Follow-up closed, no further information is possible. BNT162B2 (COMIRNATY) is under agreement with BioNTech SE

Symptoms

Alanine aminotransferase, Glomerular filtration rate, Aspartate aminotransferase, Overdose, Blood creatinine, Troponin I, Chest discomfort, Chest pain

Vaccines

VAX DATE: 17 October 2021 | ONSET DATE: 17 October 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • OT

RECVDATE:08 December 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:Test Date: 20211021; Test Name: SGPT; Result Unstructured Data: Test Result:14 IU/l; Test Date: 20211021; Test Name: Serum glutamic-oxaloacetic transferase; Result Unstructured Data: Test Result:14 IU/l; Test Date: 20211021; Test Name: Creatinine; Test Result: 0.6 mg/dl; Test Date: 20211021; Test Name: Estimated glomerular filtration rate; Result Unstructured Data: Test Result:143.6; Test Date: 20211021; Test Name: Troponin I; Result Unstructured Data: Test Result:33.9
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:TWPFIZER INC202101689140
FORM_VERS:2
TODAYS_DATE:07 December 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:
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