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VAERS Report 2136714

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: 1f1008a


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-09
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

postmenopausal bleeding; malaise; interchange of vaccine products; off label; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency-web. the reporter is the patient. regulatory number: nl-lrb-00734457. a 62-year-old female patient received bnt162b2 (comirnaty), administration date 09dec2021 (lot number: 1f1008a) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "disease risk factor" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: vaxzevria (dose 2), administration date: 22apr2021, for covid-19 immunisation; vaxzevria (dose 1), administration date: 29mar2021, for covid-19 immunisation. the following information was reported: postmenopausal haemorrhage (medically significant) with onset 17dec2021, outcome "recovered" (17dec2021), described as "postmenopausal bleeding"; malaise (non-serious) with onset 10dec2021, outcome "recovered" (11dec2021), described as "malaise"; interchange of vaccine products (non-serious) with onset 09dec2021, outcome "unknown", described as "interchange of vaccine products"; off label use (non-serious) with onset 09dec2021, outcome "unknown", described as "off label". the patient underwent the following laboratory tests and procedures: smear test: unknown result; ultrasound scan: unknown result. additional information: single bleeding. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: smear; result unstructured data: test result:unknown result; test name: ultrasound; result unstructured data: test result:unknown result
Liste des symptômes
malaise interchange of vaccine products ultrasound scan off label use postmenopausal haemorrhage smear test
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