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Report #2843403

Received May 30, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
76 yrs
State
PA
Recovered
Unknown
Vaccinated
May 27, 2025
Onset
May 28, 2025
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1——

Symptoms (3)

ChillsFatigueHeadache

Symptom narrative

Headache; severe fatigue; chills; This is a spontaneous report received from a Nurse. A 76-year-old female patient (not pregnant) received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 27May2025 as dose 1, single (Batch/Lot number: unknown) at the age of 76 years for covid-19 immunisation. The patient's relevant medical history included: "HTN" (unspecified if ongoing); "Lichens planopilaris" (unspecified if ongoing); "Gerd" (unspecified if ongoing); "OAB" (unspecified if ongoing); "Adhesive tape allergy" (unspecified if ongoing). Concomitant medication(s) included: PANTOPRAZOLE, start date: 06Sep2006. Past drug history included: Anticholinergics, reaction(s): "Drug hypersensitivity"; Fosamax, reaction(s): "Drug hypersensitivity"; Lisinopril, reaction(s): "Drug hypersensitivity". The patient did not receive other vaccines on the same date as the vaccine(s) reported. The patient did not receive other vaccines within 4 weeks prior to the vaccine(s) reported. The following information was reported: HEADACHE (non-serious) with onset 28May2025, outcome "unknown"; CHILLS (non-serious) with onset 28May2025, outcome "unknown"; FATIGUE (non-serious) with onset 28May2025, outcome "unknown", described as "severe fatigue". Therapeutic measures were taken as a result of headache, fatigue, chills. Treatment received for the adverse event included Tylenol and rest. The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.

Medical history

Medical History/Concurrent Conditions: Adhesive tape allergy; GERD; Hypertension; Lichen planopilaris; Overactive bladder

Other medications

PANTOPRAZOLE