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VAERS ID: 2272630

AGE: 55| SEX: F|State: FR

Description

Tinnitus; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the regulatory authority. Regulatory number: FR-AFSSAPS-PS20220770. A 55-year-old female patient received BNT162b2 (COMIRNATY), on 22Dec2021 as dose 1, single (Lot number: FL7645) at the age of 55 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "COVID-19", start date: 31Mar2021 (unspecified if ongoing), notes: Test performed on 31Mar2021. The patient's concomitant medications were not reported. The following information was reported: TINNITUS (medically significant) with onset Dec2021, outcome "not recovered". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (31Mar2021) Positive; Specialist consultation: (unspecified date) No details; Ultrasound Doppler: (unspecified date) without abnormality. Clinical Course: Lack of improvement at the time of reporting. No follow-up attempts are possible. No further information is expected.

Symptoms

SARS-CoV-2 test, Specialist consultation, Tinnitus, Ultrasound Doppler

Vaccines

VAX DATE: 21 December 2021 | ONSET DATE: 30 November 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • OT
  • LA
  • FL7645

RECVDATE:11 May 2022
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:Test Date: 20210331; Test Name: SARS-CoV-2 test; Test Result: Positive ; Test Name: Otorhinolaryngology consultation; Result Unstructured Data: Test Result:No details; Test Name: Doppler ultrasound done of the vessels of the neck; Result Unstructured Data: Test Result:without abnormality
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: COVID-19 (Test performed on 31Mar2021.)
PRIOR_VAX:
SPLTTYPE:FRPFIZER INC202200656208
FORM_VERS:2
TODAYS_DATE:10 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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