VAERS ID: 1952538

AGE: 12| SEX: M|STATE: FR

Description

Fatigue; followed by blurred vision; violent vomiting; My son complained of nausea; He then fainted and fell from a sitting position onto the floor. He fainted for about 15 to 30 seconds; He then fainted and fell from a sitting position onto the floor. He fainted for about 15 to 30 seconds; Vaccination site reaction; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from the regulatory authority-WEB. The reporter is the parent. Regulatory number: DE-PEI-CADR2021136559. Other Case identifier(s): DE-CADRPEI-2021136559 (web portal), DE-PEI-202100133200. A 12 year-old male patient received bnt162b2 (COMIRNATY), administration date 10Jul2021 (Lot number: FC1440) at the age of 12 years as dose number unknown, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: SYNCOPE (medically significant), FALL (medically significant) all with onset 11Jul2021, outcome "recovering" and all described as "He then fainted and fell from a sitting position onto the floor. He fainted for about 15 to 30 seconds"; VACCINATION SITE REACTION (non-serious) with onset 10Jul2021, outcome "recovering", described as "Vaccination site reaction"; FATIGUE (non-serious) with onset 11Jul2021, outcome "recovering", described as "Fatigue"; VISION BLURRED (non-serious) with onset 11Jul2021, outcome "recovering", described as "followed by blurred vision"; VOMITING (non-serious) with onset 11Jul2021, outcome "recovering", described as "violent vomiting"; NAUSEA (non-serious) with onset 11Jul2021, outcome "recovering", described as "My son complained of nausea". Sender's comments: No Known allergies. No Information on risk factors or previous illnesses.The regulatory authority assessed the causal relationship between bnt162b2 (COMIRNATY) and Vision blurred and Syncope as D. Unclassifiable. The regulatory authority assessed the causal relationship between bnt162b2 (COMIRNATY) and Nausea as B. Indeterminate. No follow-up attempts are possible. No further information is expected.

Symptoms

Fall, Fatigue, Nausea, Syncope, Vaccination site reaction, Vision blurred, Vomiting

Vaccines

VAX DATE: 07-10-2021| ONSET DATE: 07-10-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH FC1440 Unknown Unknown

RECVDATE:12-15-2021
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:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:DEPFIZER INC202101700451
FORM_VERS:2
TODAYS_DATE:12-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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