VAERS ID: 2331167

AGE: | SEX: F|STATE: FR

Description

Hypothermia; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the Regulatory Authority. The reporter is the patient. Regulatory number: FR-AFSSAPS-PA20212507 (RA). A 70-year-old female patient received BNT162b2 (COMIRNATY), on 29Apr2021 as dose 2, 0.3 ml, single (Lot number: ET6956) intramuscular for covid-19 immunisation. The patient's relevant medical history included: "Type 2 diabetes mellitus" (unspecified if ongoing), notes: balanced. Concomitant medication(s) included: JANUVIA; KARDEGIC; TAHOR; METFORMINE BIOGARAN. Vaccination history included: coviD-19 vaccine (DOSE 1, MANUFACTURER UNKNOWN), administration date: 29Apr2021, for COVID-19 IMMUNISATION. The following information was reported: HYPOTHERMIA (medically significant) with onset 01May2021, outcome "recovered" (06May2021). No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : FR-PFIZER INC-202200872584 same patient, different event (LOE after 3 doses);FR-PFIZER INC-202200872583 same patient, different event (LOE after 2 doses);FR-PFIZER INC-202200872582 same patient, different dose 2nd/3rd;

Symptoms

Hypothermia

Vaccines

VAX DATE: 04-29-2021| ONSET DATE: 05-01-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH ET6956 OT Unknown

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:Y
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:JANUVIA; KARDEGIC; TAHOR; METFORMINE BIOGARAN
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Type 2 diabetes mellitus (balanced)
PRIOR_VAX:
SPLTTYPE:FRPFIZER INC202200847006
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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