VAERS 2176646
PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge FT-HRSA-FH8028
- Staat
- DC
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 12.03.2022
- Impfdatum
- 13.11.2021
- Beginn
- 14.11.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- - / LA
Symptomtext
Vomiting; Developed motion sickness; Nausea; This is a spontaneous report received from a contactable reporter(s) (Physician). A 12 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 13Nov2021 (Lot number: FT-HRSA-FH8028, Expiration Date: 28Feb2022) at the age of 12 years as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: VOMITING (non-serious) with onset 14Nov2021, outcome "not recovered", described as "Vomiting"; MOTION SICKNESS (non-serious) with onset 14Nov2021, outcome "not recovered", described as "Developed motion sickness"; NAUSEA (non-serious) with onset 14Nov2021, outcome "not recovered", described as "Nausea". The events "vomiting", "developed motion sickness" and "nausea" were evaluated at the physician office visit. The reporter considered "vomiting", "developed motion sickness" and "nausea" not related to bnt162b2. Additional information: Drug(s) Information: Proprietary medicinal product name: Covid 19 shot, pediatric. Pharmaceutical form (Dosage form): Vaccine. Action(s) taken with drug: Unknown. Relatedness of drug to reaction(s)/event(s): Reaction assessed: Developed motion sickness, with nausea, and vomiting, after first vaccine: Source of assessment: Primary Source Reporter: Method of assessment: Global Introspection: Drug result: Unrelated. Is report related to a study or programme? No. Primary / Prescribing Healthcare Professional Info. HCP Occupation/Specialty: Pediatrician. HCP postal address:. Is Covid 19 shot, pediatric a Pfizer product? Yes. Covid 19 shot, pediatric manufacturer: Unspecified. Dates for Covid 19 shot, pediatric: (Stop: Unspecified). Why was the patient taking Covid 19 shot, pediatric (Verbatim): Not provided, Caller calling for patient. Verbatim event relatedness: Covid 19 shot, pediatric: Developed motion sickness, with nausea, and vomiting, after first vaccine ? Unrelated. Additional Context: Caller states she is calling about the Pfizer Covid 19 shot, pediatric. Caller states she is a pediatrician, and she states she has not reported to VAERS in the past. Caller asks what is usually a reportable event? Caller states she has a family that developed motion sickness after the shot. Caller agrees to file a report. Reporter details: Reporter type: Caller states she is a pediatrician. Address, City, State, Zip code: Caller declines to provide for report. Patient details: Caller did not provide other details. Caller stated the second patient was a female, 8 years old, date of birth (withheld). Healthcare provider info: As provided by reporter. Adverse Event: Developed motion sickness, with nausea, and vomiting, after first vaccine: Caller stated the motion sickness included nausea and vomiting in the car. To: answered as the children go on one long car ride a week and it happened on 14Nov2021, 21Nov2021, and 28Nov2021. Outcome: Caller answers as the mother stated it was about the same. Name and Address: (withheld). VACCINE SUPPLEMENTAL FORM: 1. Patient Details: Caller stated she did not have the mother's permission to provide this information. Time the Vaccination Was Given: not provided: 4. For a country Only: Vaccination Facility Type doctor's office: Vaccination Facility Address: (withheld). 5. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): No. 6. Additional Vaccines Administered on Same Date of the Pfizer Suspect No. 7. Adverse Event (AE) Details: Provide the time of onset of AE(s): 8. Additional Information: Did any AE(s) require a visit to: Emergency Room? No. Physician Office? Yes, had an appointment today to discuss motion sickness, nausea and vomiting. 9. Prior Vaccinations (within 4 weeks) If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s): No. 10. AE(s) following prior vaccinations: Unknown to Caller. 11. Patient's Medical History (including any illness at time of vaccination)? None. 12. Family Medical History Relevant to AE(s): not provided. 13. Relevant Tests: None. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Based on the current available limited information in the case provided, the causal association between the event and the use of suspect product BNT162B2 cannot be fully excluded.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Patient History: No
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -