VAERS ID: 1711871

AGE: 13| SEX: M|STATE: WI (United States)

Description

Pacing; Talking gibberish; Temperature; highest 101 degrees; Being crazy; never acted like that before/Acting very different; Aggressive, pulling his hair; Body aches; Bad headache; Frequently waking up; Could never get comfortable; Very sick for 2 days; This is a spontaneous report from a contactable consumer (parent). A 13-years-old male (son) patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: FC3182, patient was 13-year-old at the time of vaccination), via an unspecified route of administration, administered in Arm Left on 22Aug2021 at 10:30 as DOSE 2, SINGLE for covid-19 immunisation. Medical history reported as no. There were no concomitant medications. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: FA7485, patient was 13-year-old at the time of vaccination), via an unspecified route of administration, administered in Arm Left on 02Aug2021 as DOSE 1, SINGLE for covid-19 immunisation. Reported that patient wake up and have the behaviors, then sleep for about 30 minutes or so, wake up and do it again for about 15 minutes. He could never get comfortable. States this only occurred for that night. Caller states the fever, body aches, and bad headache her son experienced lasted for about 2 days. No additional Vaccines Administered on Same Date of the Pfizer Suspect, no prior Vaccinations within 4 weeks, no AE(s) following prior vaccinations. On 22Aug2021, the patient experienced pacing, talking gibberish, temperature; highest 101 degrees, being crazy; never acted like that before/acting very different, aggressive, pulling his hair, body aches, bad headache, frequently waking up, could never get comfortable, very sick for 2 days. AE(s) does not require to visit emergency Room or physician Office. The patient underwent lab tests and procedures which included body temperature: 101 degrees on 22Aug2021. The outcomes of events (Temperature; highest 101 degrees, Body aches, Bad headache, very sick for 2 days) were recovered on an unspecified date in 2021 and the outcomes of events (Pacing, Talking gibberish, Being crazy; never acted like that before/Acting very different, Aggressive, pulling his hair, Frequently waking up, Could never get comfortable) were recovered on 23Aug2021. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

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Symptoms

Abnormal behaviour, Aggression, Body temperature, Headache, Illness, Insomnia, Malaise, Pain, Pyrexia, Restlessness, Speech disorder

Vaccines

VAX DATE: 08-22-2021| ONSET DATE: 08-22-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FC3182 Unknown LA

RECVDATE:09-18-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Test Date: 20210822; Test Name: Temperature; Result Unstructured Data: Test Result:101 degrees
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202101170470
FORM_VERS:2
TODAYS_DATE:09-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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