VAERS ID: 2175151

AGE: 15| SEX: M|STATE: TX (United States)

Description

having pain where the bump or where the swollen lymph node is; had a "swollen lymph node under the arm" on the vaccination site; had a "swollen lymph node under the arm" on the vaccination site; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the parent. A 15 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 10Sep2021 (Lot number: FF2587, Expiration Date: 31Dec2021) at the age of 15 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "Verbatim: Kawasaki's disease" (ongoing), notes: Verbatim: Kawasaki's disease, Information for Other Conditions: diagnosed about 7 years ago. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Lot Number / Expiry Date: , Lot: FC3182, Exp: 21Oct2021, Route, Anatomical Location: Unknown by injection , No. of Previous Doses: 1), administration date: 20Aug2021, when the patient was 15 years old, for Covid-19 immunization. The following information was reported: VACCINATION SITE SWELLING (non-serious), LYMPHADENOPATHY (non-serious) all with onset 12Sep2021, outcome "not recovered" and all described as "had a "swollen lymph node under the arm" on the vaccination site"; PAIN (non-serious), outcome "unknown", described as "having pain where the bump or where the swollen lymph node is". Follow-up attempts are completed. No further information is expected.

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Symptoms

Lymphadenopathy, Pain, Vaccination site swelling

Vaccines

VAX DATE: 09-10-2021| ONSET DATE: 09-12-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FF2587 LA

RECVDATE:03-12-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:Kawasaki's disease (Verbatim: Kawasaki's disease Information for Other Conditions: diagnosed about 7 years ago)
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202101198276
FORM_VERS:
TODAYS_DATE:03-08-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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