Détails du rapport Vaer
Âge: N/A
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fd0785
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-06-07
- Date d’apparition
- 51
- Nombre de jours (date d’apparition – date de vaccination)
- 51
- Description de l’événement indésirable
-
polymyalgia rheumatica; fatigue; malaise; generalized joint pain; myalgia; 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-00724347 (ra). other case identifier(s): nl-lrb-00791130 (ra). a 66 year-old male patient received bnt162b2 (comirnaty), administration date 07jun2021 (lot number: fd0785) as dose 2, 0.3 ml single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication(s) included: acetylsalicylzuur (tablet, 30 mg (milligram), disper); crestor (tablet, 10 mg (milligram), filmomhuld). vaccination history included: comirnaty (dose 1, single, strength 0.3 ml, batch/lot number: unknown), administration date: 03may2021, for covid-19 immunisation. the following information was reported: polymyalgia rheumatica (medically significant) with onset 28jul2021, outcome "recovering", described as "polymyalgia rheumatica"; fatigue (non-serious) with onset 28jul2021, outcome "recovering", described as "fatigue"; malaise (non-serious) with onset 28jul2021, outcome "recovering", described as "malaise"; arthralgia (non-serious) with onset 28jul2021, outcome "recovering", described as "generalized joint pain"; myalgia (non-serious) with onset 28jul2021, outcome "recovering", described as "myalgia". no follow-up attempts are possible. no further information is expected. follow-up 1 (14feb2022): this is a spontaneous follow-up report from the same contactable consumer: updated information: the llt for the event 'muscular rheumatism' updated to 'polymyalgia rheumatica'. new reference number added, historical vaccine notes and ongoing was updated as no, biological product, suspect dose number, dose and unit (0.3 ml), dose description for concomitant medications and updated narrative accordingly. no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
malaise fatigue polymyalgia rheumatica arthralgia myalgia
- 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