Page breadcrumb nav

VAERS Report 2136719

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: fg6273


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-11
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

sensory disorders; nerve pain; cognitive issues; left leg stop working; cold shivers; fatigue; worsening of multiple sclerosis (spms) symptoms; absence of menstruation; 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-00734806 (ra). a 48 year-old female patient received bnt162b2 (comirnaty), administration date 11nov2021 (lot number: fg6273) as dose 1, single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 14sep2021 (unspecified if ongoing); "multiple sclerosis" (unspecified if ongoing); "lyme's disease" (unspecified if ongoing); "gluten allergy" (unspecified if ongoing). the patient's concomitant medications were not reported. the following information was reported: secondary progressive multiple sclerosis (medically significant) with onset 12nov2021, outcome "not recovered", described as "worsening of multiple sclerosis (spms) symptoms"; amenorrhoea (non-serious) with onset 12nov2021, outcome "not recovered", described as "absence of menstruation"; chills (non-serious) with onset 11dec2021, outcome "recovering", described as "cold shivers"; fatigue (non-serious) with onset 12nov2021, outcome "not recovered", described as "fatigue"; sensory disturbance (non-serious), outcome "unknown", described as "sensory disorders"; neuralgia (non-serious), outcome "unknown", described as "nerve pain"; cognitive disorder (non-serious), outcome "unknown", described as "cognitive issues"; movement disorder (non-serious), outcome "unknown", described as "left leg stop working". the events "worsening of multiple sclerosis (spms) symptoms", "absence of menstruation", "cold shivers", "fatigue", "sensory disorders", "nerve pain", "cognitive issues" and "left leg stop working" were evaluated at the physician office visit. additional information: patient had quite previous covid-19 symptoms. patient had no examinations, but had a consultation with the general practitioner and decided that getting the second vaccination was not advisable for the time being. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
secondary progressive multiple sclerosis cognitive disorder chills fatigue amenorrhoea movement disorder neuralgia sensory disturbance
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