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VAERS ID: 2275415

AGE: UNK| SEX: F|STATE: Unk

Description

nausea; Fatigue/tired easily with activity; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from a sales representative. The reporter is the patient. A 60-year-old female patient received BNT162b2 (COMIRNATY), as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; Unknown Manufacturer), for COVID-19 immunization; Covid-19 vaccine (1st booster dose, Unknown Manufacturer), for COVID-19 immunization. The following information was reported: NAUSEA (non-serious), outcome "unknown"; FATIGUE (non-serious), outcome "unknown", described as "Fatigue/tired easily with activity". Additional information: The patient received Comirnaty second booster. Event took place after use of product. No additional history. No underlying conditions known. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.

Symptoms

Fatigue, Nausea

Vaccines

VAX DATE: | ONSET DATE: | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 4

RECVDATE:12 May 2022
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:
V_ADMINBY:UNK
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200690135
FORM_VERS:2
TODAYS_DATE:11 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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