VAERS ID: 2242096

AGE: 16| SEX: F|STATE: FR

Description

Vigilance decreased; Concentration impaired; Amnesia; Syncope; Weight bearing difficulty; This is a spontaneous report received from a non-contactable reporter(s) (Physician) from the Regulatory Authority-WEB. Other Case identifier(s): DE-PEI-202200098638 (RA), DE-DCGMA-22197491 (RA). A 16-year-old female patient received BNT162b2 (COMIRNATY), on 25Feb2022 as dose 2, single (Lot number: 1F1042A) at the age of 16 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: comirnaty (DOSE NO 01, Strength (number) :0.3, Strength (unit) :mL (MILLILITRE)), administration date: 26Jan2022, for Prophylactic vaccination. The following information was reported: AMNESIA (hospitalization) with onset 26Feb2022, outcome "not recovered"; DISTURBANCE IN ATTENTION (hospitalization) with onset 26Feb2022, outcome "not recovered", described as "Concentration impaired"; SYNCOPE (hospitalization) with onset 26Feb2022, outcome "not recovered"; DISTURBANCE IN ATTENTION (hospitalization) with onset 26Feb2022, outcome "unknown", described as "Vigilance decreased"; WEIGHT BEARING DIFFICULTY (hospitalization) with onset 26Feb2022, outcome "not recovered". The patient underwent the following laboratory tests and procedures: Alcohol test: UNKNOWN; Blood glucose abnormal: UNKNOWN; Blood test: UNKNOWN; Blood thyroid stimulating hormone: UNKNOWN; Drug screen: unknown. Therapeutic measures were taken as a result of disturbance in attention, disturbance in attention, amnesia, syncope, weight bearing difficulty. Clinical course: Relatedness of drug to reactions for the events Vigilance decreased, Concentration impaired, Amnesia, Syncope, Weight bearing difficulty are Source of assessment :RA ; Result of Assessment :D. Unclassifiable. No follow-up attempts are possible. No further information is expected.; Reporter's Comments: Measures: symptoms Accompaniment, current neuropediatric diagnosis

Symptoms

Alcohol test, Amnesia, Blood glucose abnormal, Blood test, Blood thyroid stimulating hormone, Disturbance in attention, Drug screen, Syncope, Weight bearing difficulty

Vaccines

VAX DATE: 02-25-2022| ONSET DATE: 02-26-2022| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH 1F1042A Unknown Unknown

RECVDATE:04-20-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Name: alcohol test; Result Unstructured Data: Test Result:UNKNOWN; Test Name: blood sugar; Result Unstructured Data: Test Result:UNKNOWN; Test Name: Blood work; Result Unstructured Data: Test Result:UNKNOWN; Test Name: Thyroid Stimulating Hormone; Result Unstructured Data: Test Result:UNKNOWN; Test Name: drug screening; Result Unstructured Data: Test Result:unknown
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:DEPFIZER INC202200549305
FORM_VERS:2
TODAYS_DATE:04-19-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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