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VAERS Report 2136707

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-08-08
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

syncope; heavy menstrual bleeding; breast pain; menstruation abnormal; heavy menstrual bleeding; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: nl-lrb-00692050 (ra). a 21 year-old female patient received bnt162b2 (comirnaty), administration date 08aug2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: syncope (medically significant), outcome "unknown", described as "syncope"; menstrual disorder (non-serious) with onset 09aug2021, outcome "not recovered", heavy menstrual bleeding (non-serious), outcome "unknown" and all described as "heavy menstrual bleeding"; breast pain (non-serious), outcome "unknown", described as "breast pain"; menstrual disorder (non-serious), outcome "unknown", described as "menstruation abnormal". no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
heavy menstrual bleeding menstrual disorder syncope breast pain
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na