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VAERS ID: 1379484

AGE: UNK| SEX: F|State: FR

Description

Vaginal bleeding/ Constant heavy vaginal bleeding with chunks of clot; Received the first dose of BNT162B2 at the age of 1-month-old; muscle pain; high temperature; This is a spontaneous report from a contactable consumer received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202105211917593750-GVQ9S, Safety Report Unique Identifier GB-MHRA-ADR 25339983. A 1-month-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/Lot Number: Ew4109), at the age of 1-month-old, via an unspecified route of administration on 20May2021 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient has not had symptoms associated with COVID-19. Patient is not enrolled in clinical trial. Patient has not tested positive for COVID-19 since having the vaccine. The patient experienced Vaginal bleeding/ Constant heavy vaginal bleeding with chunks of clot on 21May2021 with outcome of not recovered, muscle pain in May2021 with outcome of unknown, high temperature in May2021 with outcome of unknown. The events (vaginal bleeding, muscle pain and high temperature) were serious as medically significant. The patient underwent lab tests and procedures which included body temperature: high temperature in May2021, COVID-19 virus test: No - Negative COVID-19 test on 20May2021. No follow-up attempts are possible. No further information is expected.

Symptoms

Body temperature, Vaginal haemorrhage, Myalgia, Product administered to patient of inappropriate age, Pyrexia, SARS-CoV-2 test

Vaccines

VAX DATE: 19 May 2021 | ONSET DATE: 30 April 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • Ew4109

RECVDATE:
06 June 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
Test Date: 202105; Test Name: Body temperature; Result Unstructured Data: Test Result:high temperature; Test Date: 20210520; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
V_ADMINBY:
OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
GBPFIZER INC2021584071
FORM_VERS:
2
TODAYS_DATE:
04 June 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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