VAERS ID: 1782144

AGE: 16| SEX: F|STATE: FR (Unknown)

Description

Dizziness; vomiting; inflammation in head inner ear and on optic nerve endings; inflammation in head inner ear and on optic nerve endings; inflammation in head inner ear and on optic nerve endings; Inappropriate schedule of vaccine administered; This is a spontaneous report received from a contactable consumer (patient) via a regulatory authority. A non-pregnant 16-year-old female patient received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: FD0810), via an unspecified route of administration, administered in arm left on 19Aug2021 15:45 (at the age of 16-year-old) as single dose for COVID-19 immunisation. None relevant medical history and concurrent conditions, relevant past drug history/known allergies. Concomitant medication was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took 1st single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: FA9093) administrated in arm left on 19Jun2021 11:30 (at the age of 15-year-old) for COVID-19 immunisation. The patient experienced dizziness, vomiting, inflammation in head inner ear and on optic nerve endings on 23Aug2021, and was hospitalized from 23Aug2021 to 26Aug2021. The patient received treatment including IV fluids, nausea medication. The AEs result in Emergency room/department or urgent care. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of events "dizziness", "vomiting" and "inflammation in head inner ear and on optic nerve endings" was recovering.

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Symptoms

Dizziness, Vomiting, Optic neuritis, Inflammation, Inappropriate schedule of product administration, Inner ear inflammation

Vaccines

VAX DATE: 08-19-2021| ONSET DATE: 08-19-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FD0810 LA

RECVDATE:10-13-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
PRIOR_VAX:
SPLTTYPE:CAPFIZER INC202101292915
FORM_VERS:
TODAYS_DATE:10-12-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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