National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1778336

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1778336
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-08-06
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FG4493 / 2 LA / -

Administered by: Other      Purchased by: ??
Symptoms: Pain, Renal colic, Maternal exposure timing unspecified

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ITPFIZER INC202101279029

Write-up: Severe pains with renal colic; Severe pains with renal colic; exposure during pregnancy; This is a spontaneous report from a contactable consumer downloaded from the regulatory authority-WEB, regulatory authority number IT-MINISAL02-791059. This consumer reported information for both mother and fetus/baby. A 18-years-old pregnant female patient received second dose of BNT162B2 (COMIRNATY, solution for injection; Batch/Lot Number: FG4493; Expiration Date: 30Nov2021), via an unspecified route of administration, administered in Arm Left on 06Aug2021 11:22 as DOSE 2, SINGLE for covid-19 immunisation. Patient was pregnant at the time of vaccination. The patient medical history and concomitant medications were not reported. The patient experienced severe pains with renal colic on 11Sep2021, exposure during pregnancy on an unspecified date. The patient was hospitialised. Impact on quality of life (10/10). The clinical outcome of the events was not recovered for severe pains with renal colic and unknown for exposure during pregnancy. No follow-up attempts are possible. No further information was expected.; Reporter''s Comments:

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1778336&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166