VAERS ID: 1816805

AGE: 13| SEX: F|STATE: FR (Unknown)

Description

Nephrotic syndrome; oedema; protein urine; This is a spontaneous report from a contactable physician received from the regulatory authority. Regulatory authority report number is v21129133. A 13-year-old female patient received BNT162B2 (COMIRNATY, Solution for injection, Lot Number: FF9942, Expiration Date: 30Nov2021), via an unspecified route of administration on 18Sep2021 (age at vaccination was 13-year and 11-month-old) as dose 1, single for COVID-19 immunisation. Medical history included nephrotic syndrome from Jul2013, where the patient was hospitalized for the initial episode of care of nephrotic syndrome, which was recovering with steroid therapy; then, observation without additional treatment. The patient's concomitant medications were not reported. On 01Oct2021, the patient experienced nephrotic syndrome, oedema, and protein urine. The clinical course was as follows: On 01Oct2021 (13 days after the vaccination), oedema and protein urine appeared. The patient experienced nephrotic syndrome. On 02Oct2021 (14 days after the vaccination), the patient visited the hospital for persistent protein urine and was admitted to the hospital. On 07Oct2021 (19 days after the vaccination), the patient recovered from the events. On 09Oct2021 (21 days after the vaccination), the patient was discharged from the hospital. The reporting physician classified the event as serious (hospitalization from 02Oct2021 to 09Oct2021) and assessed that the causality between the events and BNT162b2 was unassessable. The reporting physician commented as follows: Whether the event was directly related to the vaccine was not clear.

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Symptoms

Oedema, Nephrotic syndrome, Protein urine

Vaccines

VAX DATE: 09-18-2021| ONSET DATE: 10-01-2021| DAYS TO ONSET: 13
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FF9942

RECVDATE:10-26-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:7
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Test Date: 20211001; Test Name: protein urine; Result Unstructured Data: Test Result:appeared; Test Date: 20211002; Test Name: protein urine; Result Unstructured Data: Test Result:peristent; Comments: admitted to the hospital
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Nephrotic syndrome (hospitalized for the initial episode of care of nephrotic syndrome)
PRIOR_VAX:
SPLTTYPE:JPPFIZER INC202101353214
FORM_VERS:
TODAYS_DATE:10-25-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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