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VAERS Report 2136732

Case Report Section

Détails du rapport Vaer

Âge: 40 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: 1f1013a


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-21
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

cramp around heart; chills; muscle pain; not feeling well; fatigue; pain in joints; headache; fever: not measured; inflammatory reaction at the reaction site: redness, warmth, pain; reaction at or around the injection site: redness; reaction at or around the injection site: pain; reaction at or around the injection site: warmth; off label use; interchange of vaccine products; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra. regulatory number: nl-lrb-00737220 (ra). a 40 year-old female patient received bnt162b2 (comirnaty), administration date 21dec2021 (lot number: 1f1013a) at the age of 40 years 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: astrazeneca vaccine (vaxzevria) (dose 2), administration date: 04may2021, for covid-19 immunisation; astrazeneca vaccine (vaxzevria) (dose 1), administration date: 16feb2021, for covid-19 immunisation. the following information was reported: off label use (medically significant) with onset 21dec2021, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 21dec2021, outcome "unknown", described as "interchange of vaccine products"; angina pectoris (medically significant) with onset 22dec2021, outcome "recovered" (23dec2021), described as "cramp around heart"; chills (non-serious) with onset 22dec2021, outcome "recovered" (23dec2021), described as "chills"; vaccination site warmth (non-serious) with onset 21dec2021, outcome "recovered" (24dec2021), described as "reaction at or around the injection site: warmth"; headache (non-serious) with onset 22dec2021, outcome "recovered" (23dec2021), described as "headache"; pyrexia (non-serious) with onset 22dec2021, outcome "recovered" (23dec2021), described as "fever: not measured"; vaccination site inflammation (non-serious) with onset 21dec2021, outcome "recovered" (24dec2021), described as "inflammatory reaction at the reaction site: redness, warmth, pain"; myalgia (non-serious) with onset 22dec2021, outcome "recovered" (23dec2021), described as "muscle pain"; malaise (non-serious) with onset 22dec2021, outcome "recovered" (23dec2021), described as "not feeling well"; fatigue (non-serious) with onset 22dec2021, outcome "recovered" (24dec2021), described as "fatigue"; arthralgia (non-serious) with onset 22dec2021, outcome "recovered" (23dec2021), described as "pain in joints"; vaccination site erythema (non-serious) with onset 21dec2021, outcome "recovered" (24dec2021), described as "reaction at or around the injection site: redness"; vaccination site pain (non-serious) with onset 21dec2021, outcome "recovered" (24dec2021), described as "reaction at or around the injection site: pain". the patient underwent the following laboratory tests and procedures: body temperature: (22dec2021) fever: not measured. therapeutic measures were taken as a result of headache included: treated with paracetamol. clinical course: no extensive swelling of vaccinated limb. at times patient got a cramp around heart. no previous covid-19 infection. injection site inflammation. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20211222; test name: body temperature; result unstructured data: test result:fever: not measured
Liste des symptômes
chills malaise fatigue angina pectoris headache arthralgia pyrexia myalgia interchange of vaccine products vaccination site warmth vaccination site inflammation body temperature vaccination site pain vaccination site erythema off label use
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