VAERS ID: 2161446

AGE: 10| SEX: F|STATE: PA

Description

Sorry throat; cough; feeling tired; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). A 10 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 18Nov2021 10:30 (Lot number: Fks127) at the age of 10 years as dose 1, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: OROPHARYNGEAL PAIN (non-serious) with onset 19Nov2021, outcome "not recovered", described as "Sorry throat"; COUGH (non-serious) with onset 19Nov2021, outcome "not recovered", described as "cough"; FATIGUE (non-serious) with onset 19Nov2021, outcome "not recovered", described as "feeling tired". No follow-up attempts are possible. No further information is expected.

Symptoms

Cough, Fatigue, Oropharyngeal pain

Vaccines

VAX DATE: 11-18-2021| ONSET DATE: 11-19-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH Fks127 Unknown LA

RECVDATE:03-05-2022
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:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202101676181
FORM_VERS:2
TODAYS_DATE:03-04-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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