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VAERS ID: 2275440

AGE: 72| SEX: F|State: MI

Description

breast cancer; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 73-year-old female patient received BNT162b2 (BNT162B2), on 11Oct2021 at 09:30 as dose 3 (booster), single (Lot number: FC3180) at the age of 72 years intramuscular, in arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 11Oct2021 as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose: 1, Time: 10:00, Anatomical location: Arm, Route of administration: Intramuscular, Batch/lot number: EL9267, Expiry date: 03May2021), administration date: 03Mar2021, when the patient was 72-year-old, for COVID-19 immunization; BNT162b2 (Dose: 2, Time: 10:00, Anatomical location: Arm, Route of administration: Intramuscular, Batch/lot number: EN9267, Expiry date: 31Jul2021), administration date: 23Mar2021, when the patient was 72-year-old, for COVID-19 immunization. The following information was reported: BREAST CANCER (medically significant) with onset 25Dec2021, outcome "not recovered". The patient underwent the following laboratory tests and procedures: Biopsy: (25Dec2021) Breast cancer. Therapeutic measures were taken as a result of breast cancer. Clinical course included: Patient received BNT162b2 (BNT162B2), on 08Apr2022 as dose 4 (booster), single (Lot number: FJ4991). She did not receive prior vaccinations. Breast cancer was treated with 3 doses of 1mg Anastrozole on 11Apr2022, 12Apr2021 and 13Apr2022. No follow-up attempts are possible. No further information is expected.

Symptoms

Biopsy, Breast cancer

Vaccines

VAX DATE: 10 October 2021 | ONSET DATE: 24 December 2021 | DAYS TO ONSET: 75
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 3
  • OT
  • FC3180

RECVDATE:12 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: 20211225; Test Name: Biopsy; Result Unstructured Data: Test Result:Breast cancer
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200697137
FORM_VERS:2
TODAYS_DATE:11 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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