VAERS ID: 1000258

AGE: 49| SEX: F|State: FR

Description

This is a Non-Interventional Study report from a non-contactable consumer. A 49-year-old female patient received vaccine intramuscular on 05Jan2021 at single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. 15 minutes after vaccination the patient developed visual disturbances, dizziness and headache, and from a sudden strong pulse and rise in blood pressure, the events lasting for unknown. The patient was hospitalized from an unknown date in Jan2021. Outcome of events blood pressure and pulse rose was unknown, of other events was not recovered at the date of reporting. Reporter's comment: "15 minutes after vaccination I got dizzy, I saw blurred and blood pressure and pulse rose rapidly, others 20 minutes later RTW, 3 hours Surveillance in hospital, the next day to the family doctor and to the ophthalmologist, who asked and found that the visual performance has deteriorated, opticians prescribed new glasses, currently the patient still had strong headache and occasionally dizziness". No follow-up attempts are possible. No further information is expected.; Reporter's Comments: 15 minutes after vaccination I got dizzy, I saw blurred and blood pressure and pulse rose rapidly, others 20 minutes later, 3 hours Surveillance in hospital, the next day to the family doctor and to the ophthalmologist, who asked and found that the visual performance has deteriorated, opticians prescribed new glasses, currently the patient still had strong headache and occasionally dizziness.

Symptoms

Blood pressure increased, Visual impairment, Dizziness, Headache, Heart rate increased, Vision blurred

Vaccines

VAX DATE: 05 January 2021 | ONSET DATE: 05 January 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        04 February 2021
        CAGE_YR:
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        Y
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        DEPFIZER INC2021054278
        FORM_VERS:
        2
        TODAYS_DATE:
        03 February 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        Y
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY: