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VAERS Report 2136748

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
2021-06-26
Date d’apparition
95
Nombre de jours (date d’apparition – date de vaccination)
95
Description de l’événement indésirable

signs of breakdown, right side; taken by ambulance to the hospital because of right-side paralysis; intestinal problems. to this day still suffering from it therefore rehabbing; intestinal problems. to this day still suffering from it therefore rehabbing; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency-web. the reporter is the patient. regulatory number: nl-lrb-00778715. a 52 year-old female patient received bnt162b2 (comirnaty), administration date 26jun2021 (batch/lot number: unknown) as dose 2, (0.3 ml) single for covid-19 immunisation. relevant medical history included: "bechterew's disease" (ongoing); "crohn's disease" (ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1,), administration date: 22may2021, for covid-19 immunisation. the following information was reported: hemiparesis (hospitalization, medically significant) with onset 29sep2021, outcome "recovering", described as "signs of breakdown, right side"; paralysis (hospitalization, medically significant) with onset 29sep2021, outcome "unknown", described as "taken by ambulance to the hospital because of right-side paralysis"; gastrointestinal disorder (non-serious), bladder disorder (non-serious) all with onset 29sep2021, outcome "recovering" and all described as "intestinal problems. to this day still suffering from it therefore rehabbing". the events "signs of breakdown, right side", "intestinal problems. to this day still suffering from it therefore rehabbing" and "intestinal problems. to this day still suffering from it therefore rehabbing" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: physical examination: unknown result, notes: unknown whether were any tests performed during physical examination. therapeutic measures were taken as a result of hemiparesis, gastrointestinal disorder, bladder disorder. reporter comment: biontech/pfizer vaccine (comirnaty) past drug therapy biontech/pfizer vaccine (comirnaty): yes adrs: i wouldn't venture to say because there were already symptoms date: 22may2021 symptoms of paralysis, bladder/bowel problems. still struggling with it to this day, was in rehab before additional information adr: 29sep2021 taken by ambulance to the hospital because of right-side paralysis no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: biontech/pfizer vaccine (comirnaty) past drug therapy biontech/pfizer vaccine (comirnaty): yes adrs: i wouldn't venture to say because there were already symptoms date: 22may2021 symptoms of paralysis, bladder/bowel problems. still struggling with it to this day, was in rehab before additional information adr: 29sep2021 taken by ambulance to the hospital because of right-side paralysis

Données de laboratoire
test name: physical examination; result unstructured data: test result:unknown result; comments: unknown whether were any tests performed during physical examination
Liste des symptômes
gastrointestinal disorder paralysis hemiparesis physical examination bladder disorder
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
bechterew's disease; crohn's disease