VAERS ID: 2331392

AGE: | SEX: F|STATE: FR

Description

blood thrombosis rate at 1,600 units; C-reactive protein high infectious: infectious rate; more severe breathing (due)/heavier breathing (dyspnoea); vomiting twice; nausea; Strong distressing headache/severe disrupting headache; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the Regulatory Authority-WEB. Regulatory number: PL-URPL-DML-MLP.4401.2.10102.2021 (RA). Other Case identifier(s): L15584\2021 (RA). A 31-year-old female patient received BNT162b2 (COMIRNATY), on 23Aug2021 as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: C-REACTIVE PROTEIN INCREASED (non-serious) with onset 24Aug2021 at 12:38, outcome "unknown", described as "C-reactive protein high infectious: infectious rate"; HEADACHE (non-serious) with onset 24Aug2021 at 12:38, outcome "unknown", described as "Strong distressing headache/severe disrupting headache"; THROMBOSIS (hospitalization, medically significant) with onset 24Aug2021 at 12:38, outcome "unknown", described as "blood thrombosis rate at 1,600 units"; DYSPNOEA (non-serious) with onset 24Aug2021 at 12:38, outcome "unknown", described as "more severe breathing (due)/heavier breathing (dyspnoea) "; NAUSEA (non-serious) with onset 24Aug2021 at 12:38, outcome "unknown"; VOMITING (non-serious) with onset 24Aug2021 at 12:38, outcome "unknown", described as "vomiting twice". Clinical course: Patient was hospitalized with hospitalization period from 24Aug2021 to today. The patient was hospitalized for thrombosis (start date: 24Aug2021). The patient underwent the following laboratory tests and procedures: Coagulation factor: (24Aug2021) 1600, notes: units; C-reactive protein: (24Aug2021) high. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Symptoms

C-reactive protein, C-reactive protein increased, Coagulation factor, Dyspnoea, Headache, Nausea, Thrombosis, Vomiting

Vaccines

VAX DATE: 08-23-2021| ONSET DATE: 08-24-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Test Date: 20210824; Test Name: blood clotting index; Result Unstructured Data: Test Result:1600; Comments: units; Test Date: 20210824; Test Name: C-reactive protein; Result Unstructured Data: Test Result:high
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:PLPFIZER INC202200843757
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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