Détails du rapport Vaer
Âge: 36 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: unknown
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-05-02
- Date d’apparition
- 7
- Nombre de jours (date d’apparition – date de vaccination)
- 7
- Description de l’événement indésirable
-
angioedema; urticaria; allergic reaction; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: nl-lrb-00779189. a 36 year-old female patient received bnt162b2 (comirnaty), administration date 02may2021 (lot number: unknown) at the age of 36 years as dose 1, 0.3 ml single for covid-19 immunisation. the patient's relevant medical history was not reported. patient had no previous covid-19 infection. concomitant medication(s) included: levothyroxine. the following information was reported: angioedema (medically significant) with onset 09may2021, outcome "not recovered", described as "angioedema"; urticaria (non-serious) with onset 09may2021, outcome "not recovered", described as "urticaria"; hypersensitivity (non-serious) with onset 09may2021, outcome "not recovered", described as "allergic reaction". the patient underwent the following laboratory tests and procedures: investigation: unknown result, notes: to exclude rheumatism; x-ray: unknown result, notes: to exclude a rheumatic etiology. therapeutic measures were taken as a result of angioedema, urticaria, hypersensitivity. the patient was treated with antihistamine. patient received dose 2 0.3 ml single on 06jun2021, and dose 3 pfizer on 01sep2022. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Données de laboratoire
-
test name: photos of the hands and feet; result unstructured data: test result:unknown result; comments: to exclude rheumatism; test name: x- rays; result unstructured data: test result:unknown result; comments: to exclude a rheumatic etiology
- Liste des symptômes
-
investigation urticaria hypersensitivity x-ray angioedema
- 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