VAERS ID: 1769772

AGE: 15| SEX: F|STATE: FR

Description

deafness; Ulcer; Sore throat; Migraine; Dry nose; Tension; Unable to swallow; Suspected COVID-19; Deafness both ears; This is a spontaneous report from a contactable consumer (patient) received from the regulatory authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202109271333456350-X4NMQ, Safety Report Unique Identifier GB-MHRA-ADR 26000022. A 15-year-old female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Batch/Lot Number and Expiration date was not reported) via an unspecified route of administration on 22Sep2021 (age at vaccination 15-year-old) as DOSE 1, SINGLE for covid-19 immunization. Patient was not pregnant. Patient was not currently breastfeeding. The patient's medical history and concomitant medications were not reported. On an unspecified date the patient experienced deafness, on 22Sep2021 experienced deafness both ears, on 24Sep2021 experienced sore throat, ulcer, on 23Sep2021 experienced migraine, dry nose, tension, unable to swallow, suspected covid-19. It was reported as, by deafness in Both ears I mean my ears won't pop. Patient has not tested positive for COVID-19 since having the vaccine. Patient was not enrolled in clinical trial. No causality was provided for deafness, deafness bilateral, oropharyngeal pain, migraine, nasal dryness, tension, dysphagia, ulcer and suspected COVID-19. The patient underwent lab tests and procedures which included COVID-19 virus test: negative on 26Sep2021. No - Negative COVID-19 test. The outcome of events suspected covid-19, deafness were unknown, for events deafness both ears, sore throat, dry nose, tension, unable to swallow, ulcer were not recovered and for event migraine was recovered on 25Sep2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Symptoms

Deafness, Deafness bilateral, Dysphagia, Migraine, Nasal dryness, Oropharyngeal pain, SARS-CoV-2 test, Suspected COVID-19, Tension, Ulcer

Vaccines

VAX DATE: 09-22-2021| ONSET DATE: 09-22-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:10-07-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20210926; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:GBPFIZER INC202101280549
FORM_VERS:2
TODAYS_DATE:10-07-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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