VAERS ID: 1394155

AGE: 64| SEX: M|STATE: FR (Unknown)

Description

Hemorrhage; Bleeding from penis; This is a spontaneous report from a contactable nurse (patient). A 64-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number: TJ4X3FYW), via an unspecified route of administration on 26May2021 at 12:45 (also reported as 00:30) (at the age of 64-years-old) at 1st dose, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was vaccinated at a hospital and experienced hemorrhage and bleeding from penis on 26May2021 at 18:30. The outcome of the events was unknown.; Sender's Comments: Based on the close temporal relationship, the association between the event "hemorrhage and bleeding from penis" with BNT162b2 can not be completely exclude. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

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Symptoms

Haemorrhage, Penile haemorrhage

Vaccines

VAX DATE: 05-26-2021| ONSET DATE: 05-26-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH TJ4X3FYW Unknown Unknown

RECVDATE:06-12-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:ZAPFIZER INC2021619377
FORM_VERS:
TODAYS_DATE:06-11-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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