Received Jan 14, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 3 | 30125BA | — |
flu like symptoms; This is a spontaneous report received from a Consumer or other non HCP. A 57-year-old female patient (not pregnant) received BNT162b2 (COMIRNATY), on 05Oct2021 as dose 3, single (Lot number: 30125BA) at the age of 57 years for covid-19 immunisation. The patient's relevant medical history included: "Asthma", start date: Oct1985 (unspecified if ongoing); "recently recurrence of Ovarian Cancer" (ongoing); "Allergies: Sulfate drugs", start date: 2000 (unspecified if ongoing), notes: Red rash, surgery; "Allergies: adhesive", start date: 2021 (unspecified if ongoing), notes: Red rash/burn; "Stage 3 ovarian cancer w/ massive ascites", start date: Feb2021, stop date: Sep2021; "Recurrence in medistinial to subclaviular lymph nodes", start date: 06Nov2025 (unspecified if ongoing). Concomitant medication(s) included: CRESTOR. Past drug history included: Flu shot, start date: 2000, for Flu immunisation, reaction(s): "Anaphylaxis"; Albuterol inhaler for Asthma, notes: 2 puffs 4-6 hours, Frequency- as needed; Tylenol for Headche, notes: 500 MG As needed; Ibuprofen for Fever, notes: 200 mg as needed. Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Lot number: EN6207/ left arm), administration date: 11Mar2021, for COVID-19 IMMUNISATION; BNT162b2 (DOSE 2, SINGLE, Lot number: ER8734/ left arm), administration date: 01Apr2021, for COVID-19 IMMUNISATION; BNT162b2 (DOSE NUMBER UNKNOWN, SINGLE), administration date: 17Nov2023, for COVID-19 IMMUNISATION; BNT162b2 (DOSE NUMBER UNKNOWN, SINGLE), administration date: 14Nov2024, for COVID-19 IMMUNISATION. The following information was reported: INFLUENZA LIKE ILLNESS (non-serious) with onset 05Oct2021, outcome "unknown", described as "flu like symptoms". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: patient reported "flu like symptoms" following 05Oct2021 vaccination starting same day. It was unknown if it was vaccine or virus.
Ovarian cancer recurrent
Medical History/Concurrent Conditions: Adhesive tape allergy (Red rash/burn); Asthma; Metastases to lymph nodes; Ovarian cancer stage III; Sulfonamide allergy (Red rash, surgery)
CRESTOR
Test Date: 202511; Test Name: lymph node biopsy; Result Unstructured Data: Test Result:unknown; Comments: Shot received 4 days post lymph node biopsy; Test Date: 20251126; Test Name: body Temperature; Result Unstructured Data: Test Result:appox 99.5-101; Test Name: abdominal ultrasound; Result Unstructured Data: Test Result:other issues cleared