VAERS ID: 1784318

AGE: 15| SEX: F|STATE: FR (Unknown)

Description

muscle weakness of limbs; Loss of consciousness; ADHD; Consciousness disturbed; Blepharospasm; eyelids myoclonus-like convulsions; Convulsion/Seizure; Eyeball upturn; felt down; HR was 120 times/min; This is a spontaneous report from a contactable Other Health Professional received from the regulatory authority. Regulatory authority report number is v21128909. A 15-year and 11-month-old female received the first dose of bnt162b2 (COMIRNATY, Solution for injection, Lot number FF9944, Expiration date 30Nov2021) via an unspecified route of administration on 25Sep2021 at 13:52 at age of 15 years old as a single dose for COVID-19 immunization.Body temperature before vaccination was 36.9 degrees centigrade. Patient's history according to the vaccine screening questionnaire (primary diseases, allergies, vaccinations and illnesses within the last one month, medications the patient was taking, past adverse effect history, growth status) included trichotillomania, intestinal obstruction and stature short. Concomitant drugs was not reported. On 25Sep2021 at 13:52 (the day of vaccination), the patient received the first dose of bnt162b2. On 25Sep2021 at 14:07 (15 minutes after the vaccination), the patient experienced consciousness disturbed, Blepharospasm, Eyeball upturn, Convulsion. On 25Sep2021 (the day of vaccination), the patient was admitted to the hospital. On 25Sep2021 (the day of the vaccination), the outcome of the event was not recovered. Clinical course of the events was reported as follows: After vaccination, while the patient was under 15 minutes observation, the patient felt down when standing up, then consciousness disturbed appeared and persisted for 5 minutes. Then eyeball upturn, eyelids myoclonus-liked Convulsion appeared. Blood pressure was 130/60, HR was 120 times/min, RR was 16 times/min, SPO2 was 98%. After that the symptoms were improved. On 25Sep2021 around 15:40 (1 hour 48 minutes after the vaccination), Loss of consciousness appeared again. Because of symptoms of Blepharospasm and muscle weakness of limbs, CERCINE was given by intravenous injection, and then Blepharospasm disappeared. ALEVIATIN was administered. The patient was hospitalized for under observation. On 25Sep2021 at 21:35 (7 hours 43 minutes after the vaccination), there was Seizure. The patient was treated with Diazepam and the symptom tended to improve. On 25Sep2021 at 22:10 (8 hours 17 minutes after the vaccination), Seizure for the third time, Dormicum was used by intravenous injection, and the symptom disappeared. On 25Sep2021 at 22:20 (8 hours 27 minutes after the vaccination), Seizure for the fourth time, increased dose of Dormicum was used by intravenous injection. The patient was transferred to another privacy hospital because it was difficult for our hospital to handle. The reporting Other Health Professional classified the event serious (hospitalization, can lead to disability) and assessed that the event was related to bnt162b2. The other possible cause of the events was ADHD. The reporting Other Health Professional commented as follows: The patient was under observation, and the treatment plan is under discussion. The reason and others will be reported again.

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Symptoms

Gaze palsy, Muscular weakness, Loss of consciousness, Heart rate increased, Fall, Blepharospasm, Heart rate, Oxygen saturation, Body temperature, Altered state of consciousness, Respiratory rate, Seizure, Blood pressure measurement, Attention deficit hyperactivity disorder, Eyelid myoclonus

Vaccines

VAX DATE: 09-25-2021| ONSET DATE: 09-25-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FF9944

RECVDATE:10-14-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20210925; Test Name: blood pressure; Result Unstructured Data: Test Result:130/60; Comments: after the vaccination; Test Date: 20210925; Test Name: Body temperature; Result Unstructured Data: Test Result:36.9 Centigrade; Comments: before the vaccination; Test Date: 20210925; Test Name: HR; Result Unstructured Data: Test Result:120; Comments: unit: times/min after the vaccination; Test Date: 20210925; Test Name: SOP2; Test Result: 98 %; Comments: after the vaccination; Test Date: 20210925; Test Name: RR; Result Unstructured Data: Test Result:16; Comments: unit: times/min after the vaccination
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Intestinal obstruction; Short stature; Trichotillomania
PRIOR_VAX:
SPLTTYPE:JPPFIZER INC202101292000
FORM_VERS:
TODAYS_DATE:10-13-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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