VAERS ID: 1538916

AGE: 31| SEX: M|STATE: FR (Unknown)

Description

Loss of consciousness; abdominal pain; stools watery; penis injury; Vasovagal reflex; This is a spontaneous report from a contactable other HCP Regulatory authority. Regulatory authority report number is v21121598. The patient was a 31-year 9-month-old male. Body temperature before vaccination was 36.4 centigrade. On 08Apr2021 at 14:00 at age of 31-year-old, the patient received the second dose of bnt162b2 (COMIRNATY, Lot# ER2659, Expiration date 31Jun2021) via an unspecified route of administration as single dose for COVID-19 immunization. The patient had no family history. There were no points to be considered on the vaccine screening questionnaire (primary diseases, allergies, vaccinations and illnesses within the last one month, medications the patient was taking, past adverse effect history, growth status, etc). Concomitant medication was not reported. On 09Apr2021 at 00:00AM.(the date after the vaccination), the patient experienced Vasovagal reflex. The course of the event was as follows: On 08Apr2021, the patient received the 2nd dose of the vaccine. On 09Apr2021 at about 0:00, the patient experienced abdominal pain and stools watery. After that the patient lost consciousness. When the patient noticed, the patient lay in a bathroom. At that time, the patient suffered penis injury. The patient visited the emergency outpatient service. The injured site was protected from being dried with petroleum jelly. On the next day, the patient visited and was put 8 stiches in the injured site. On 09Apr2021 (the day after the vaccination), the outcome of events were recovering. The reporter classified the events as non-serious and assessed that the event was the causality between the event and bnt162b2 as unassessble. There was no other possible cause of the event such as any other diseases.

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Symptoms

Abdominal pain, Diarrhoea, Loss of consciousness, Presyncope, Body temperature, Penis injury

Vaccines

VAX DATE: 04-08-2021| ONSET DATE: 04-09-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH ER2659 Unknown Unknown

RECVDATE:08-10-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20210408; Test Name: Body temperature; Result Unstructured Data: Test Result:36.4 Centigrade; Comments: before vaccination
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
PRIOR_VAX:
SPLTTYPE:JPPFIZER INC202100952260
FORM_VERS:
TODAYS_DATE:08-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.