VAERS ID: 1798847

AGE: 12| SEX: M|STATE: FR (Unknown)

Description

Reduced mouth amplitude; Dark urine; Swollen and reddened eyes; Swollen and reddened eyes; Paleness; Heart rate above 130 bpm; Very low blood pressure (7x4); Began to lose movement in his legs and arms (Hyporeflex flaccid tetraparesis); Severe stomach pains; Fever of 39.8 degrees Centigrade; Lump appeared in the neck; Headaches; Dizziness; Weakness; Infection; Sepsis; This is a spontaneous report received from a contactable consumer (patient) via regulatory authority. A 12-year-old male patient received BNT162B2 (COMIRNATY; solution for injection; lot number: FG3530), via an unspecified route of administration, administered in the left arm on 24Sep2021 (at the age of 12-years-old) as dose 1, single for COVID-19 immunization. Medical history included COVID-19 on an unspecified date prior to vaccination. The patient has no known allergies. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 25Sep2021 (1 day after the vaccination), the patient began to experience weakness, dizziness, and headaches. On 26Sep2021, a "lump" appeared in the neck and the patient had a fever of 39.8 degrees Centigrade, then he started having severe stomach pains. Symptoms progressed rapidly, he had very low blood pressure (7x4), heart rate above 130 bpm, paleness, swollen and reddened eyes, dark urine and then the patient began to lose movement in his legs and arms (Hyporeflex flaccid tetraparesis) and reduced mouth amplitude. All exams showed alterations, indicating infection, progressing to sepsis. On 04Oct2021, the patient was admitted urgently (due to sepsis), remaining in the hospital until 08Oct2021. Discharge Summary Reason for Admission: Adverse Effects of Antiviral Vaccines (Y590). The patient must undergo outpatient follow-up with Neurology, Immunology, Rheumatology and Infectology. The patient will proceed with physical-motor rehabilitation and 4-limb electroneuromyography exams. Since the vaccination, the patient has been tested for COVID-19. Nasal swab test on 02Oct2021 and 05Oct2021 were both negative. The outcome of the events was recovered on an unspecified date.

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Dizziness, Pyrexia, Headache, Pallor, Infection, Asthenia, Sepsis, Dyskinesia, Ocular hyperaemia, Abdominal pain upper, Eye swelling, Heart rate increased, Chromaturia, Blood pressure decreased, Heart rate, Body temperature, Quadriparesis, Neck mass, Investigation, Blood pressure measurement, SARS-CoV-2 test

Vaccines

VAX DATE: 09-24-2021| ONSET DATE: 09-25-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FG3530 LA

RECVDATE:10-19-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:5
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Test Name: Blood pressure; Result Unstructured Data: Test Result:7x4; Test Date: 20210926; Test Name: Body temperature; Result Unstructured Data: Test Result:39.8 Centigrade; Test Name: Heart rate; Result Unstructured Data: Test Result:above 130 bpm; Test Name: Exams; Result Unstructured Data: Test Result:Alterations, indicating infection..; Comments: ..progressing to sepsis; Test Date: 20211002; Test Name: COVID-19 test (Nasal Swab); Test Result: Negative ; Test Date: 20211005; Test Name: COVID-19 test (Nasal Swab); Test Result: Negative
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: COVID-19 (Prior to vaccination)
PRIOR_VAX:
SPLTTYPE:BRPFIZER INC202101368457
FORM_VERS:
TODAYS_DATE:10-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.