VAERS ID: 1807009

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

Description

diarrhoea; Hypothyroidism; Hepatic function disorder; Pyrexia; This is a spontaneous report initial received from a contactable pharmacist via regulatory authority and Follow-up received on 09Oct2021 from a contactable physician from the regulatory authority. Regulatory authority report number is v21129085. A 12-year-old non-pregnant female patient received first dose of bnt162b2 (COMIRNATY), intramuscularly administered in left arm on 29Sep2021 at 16:30 (Batch/Lot Number: FG0978; Expiration Date: 30Nov2021) at age of 12-year-old as single dose for covid-19 immunisation. There were no points to be considered on 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). Prior to vaccination, the patient was not diagnosed with COVID-19. Body temperature before vaccination was 36.7 degrees Centigrade. The patient's concomitant medications were not reported. On 30Sep2021 at 16:30 (one day after the vaccination), the patient experienced hypothyroidism and pyrexia and hepatic function disorder. The course of the event was as follows: On 30Sep2021 from about 16:30, the patient experienced pyrexia of 38~40 degrees centigrade. From 04Oct2021, the patient experienced diarrhoea. On 06Oct2021, blood test showed hepatic function disorder and the patient was admitted to reporter's hospital. On 06Oct2021, Blood test showed AST increased to 299, ALT increased to 261, gamma-GTP increased to 186. On 07Oct2021, Blood test showed high value of ASL 318, ALT 322, gamma-GTP 280. Abdominal echo showed Scattered abdominal lymph nodes. On 08Oct2021, pyrexia tended to abated. The cause reason was still under scrutiny. Patient received treatment including Liver protectant, drip infusion, antipyrectic. Since the vaccination, the patient has been tested for COVID-19 (Antigen quantitative test) negative. On 08Oct2021 (8 days after the vaccination), the outcome of the events was not recovered. The reporting physician classified the event as serious (caused hospitalization from 06Oct2021 and still in hospitalization as of 08Oct2021) and assessed the causality between the event and bnt162b2 as unassessable. Other possible cause(s) of the event such as any other diseases was that viral infection or immunization disease.; Sender's Comments: Based on the current limited available information and the drug-event temporal association, a possible contributory role of the suspect product BNT162B2 to the development of the event hypothyroidism cannot be excluded. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

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Symptoms

Pyrexia, Diarrhoea, Hepatic function abnormal, Hypothyroidism, Blood test, Gamma-glutamyltransferase, Body temperature, Ultrasound abdomen, Alanine aminotransferase, Aspartate aminotransferase, SARS-CoV-2 test

Vaccines

VAX DATE: 09-29-2021| ONSET DATE: 09-30-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FG0978 OT LA

RECVDATE:10-22-2021
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: 20211006; Test Name: blood test; Result Unstructured Data: Test Result:hepatic funcion disorder; Test Date: 20210929; Test Name: body temperature; Result Unstructured Data: Test Result:36.7 Centigrade; Comments: before vaccination; Test Date: 20210930; Test Name: body temperature; Result Unstructured Data: Test Result:38~40 Centigrade; Test Date: 20211006; Test Name: Antigen quantitative test; Test Result: Negative ; Test Date: 20211007; Test Name: abdominal echo; Result Unstructured Data: Test Result:Scattered abdominal lymph nodes; Test Date: 20211006; Test Name: ALT; Result Unstructured Data: Test Result:261; Comments: increased; Test Date: 20211007; Test Name: ALT; Result Unstructured Data: Test Result:322; Comments: high value; Test Date: 20211006; Test Name: AST; Result Unstructured Data: Test Result:299; Comments: increased; Test Date: 20211007; Test Name: AST; Result Unstructured Data: Test Result:318; Comments: high value; Test Date: 20211006; Test Name: gamma-GTP; Result Unstructured Data: Test Result:186; Comments: increased; Test Date: 20211007; Test Name: gamma-GTP; Result Unstructured Data: Test Result:280; Comments: high value
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:JPPFIZER INC202101334078
FORM_VERS:
TODAYS_DATE:10-21-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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