VAERS ID: 2331162

AGE: | SEX: M|STATE: FR

Description

Purpura vascular; This is a spontaneous report received from a contactable reporter(s) (Physician) from the Regulatory Authority. Regulatory number: FR-RA-PA20210679 (RA). An 80-year-old male patient received BNT162b2 (COMIRNATY), on 25Mar2021 as dose 1, 0.3 ml single (Lot number: ER9470) intramuscular, in left arm for covid-19 immunization. The patient's relevant medical history included: "Hypertension arterial" (unspecified if ongoing); "Non-insulin-dependent diabetes mellitus" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: VASCULAR PURPURA (medically significant) with onset 27Mar2021, outcome "recovering", described as "Purpura vascular". Clinical course: The patient was presented with vascular purpura (probable vasculitis) 48 hours after injection. The patient's clinical condition is recovering. No follow-up attempts are possible. No further information is expected.

Symptoms

Vascular purpura

Vaccines

VAX DATE: 03-25-2021| ONSET DATE: 03-27-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ER9470 OT LA

RECVDATE:06-24-2022
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:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Hypertension arterial; Non-insulin-dependent diabetes mellitus.
PRIOR_VAX:
SPLTTYPE:FRPFIZER INC202200847067
FORM_VERS:2
TODAYS_DATE:06-23-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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