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VAERS Report 2136754

Case Report Section

Détails du rapport Vaer

Âge: 35 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: fh9951


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-14
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

loss of consciousness; fatigue; hard to speak; feel weak; this is a spontaneous report received from a contactable consumer from the regulatory authority-web. regulatory number: nl-lrb-00780324 (ra). a 35 year-old female patient received bnt162b2 (comirnaty), administration date 14jan2022 (lot number: fh9951) at the age of 35 years as dose 3 (booster), 0.3 ml single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, 0.3 ml single,dose 1, 0.3 ml single), administration date: 21may2021, for covid-19 immunisation, reaction(s): "fatigue", "myalgia"; comirnaty (dose 2, 0.3 ml single), administration date: 25jun2021, for covid-19 immunisation, reaction(s): "vaccination site pain", "fatigue". the following information was reported: loss of consciousness (medically significant) with onset 14jan2022, outcome "not recovered", described as "loss of consciousness"; fatigue (non-serious) with onset 14jan2022, outcome "recovering", described as "fatigue"; speech disorder (non-serious) with onset 14jan2022, outcome "recovering", described as "hard to speak"; asthenia (non-serious) with onset 14jan2022, outcome "recovering", described as "feel weak". additional information: at time of reporting, which is 5 months after start of the reactions, the patient has not recovered from loss of consciousness and is recovering from fatigue. the patient experienced losing consciousness for a fraction of a second and for several times a day, just comes out of nowhere. in the first few minutes afterwards, it's hard to speak and the patient feel weak. the patient had no previous covid-19 infection and had no diagnostic procedures. reporter comment: biontech/pfizer vaccine (comirnaty). past drug therapy biontech/pfizer vaccine (comirnaty): yes adrs: tired and muscle pain at the injection site date: 21may2021. past drug therapy biontech/pfizer vaccine (comirnaty): yes adrs: tired, pain at the injection site date: 25jun2021 no follow-up attempts are possible. no further information is expected.; reporter's comments: biontech/pfizer vaccine (comirnaty). past drug therapy biontech/pfizer vaccine (comirnaty): yes adrs: tired and muscle pain at the injection site date: 21may2021. past drug therapy biontech/pfizer vaccine (comirnaty): yes adrs: tired, pain at the injection site date: 25jun2021; sender's comments: linked report(s) : nl-pfizer inc-202200295166 same vaccine, same patient, different events.;nl-pfizer inc-202200295192 same vaccine, same patient, different events

Données de laboratoire
na
Liste des symptômes
fatigue asthenia speech disorder loss of consciousness
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