Détails du rapport Vaer
Âge: N/A
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fe1573
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-07-03
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
blood glucose increased; latent autoimmune diabetes in adults/ trigger for onset of type 1 diabetes; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: nl-lrb-00780561 (lrb). a 53 year-old male patient received bnt162b2 (comirnaty, solution for injection), administration date 03jul2021 (lot number: fe1573) as dose 2, single for covid-19 immunisation. relevant medical history included: "type 2 diabetes mellitus" (ongoing), notes: for years. the patient had no previous covid-19 infection. concomitant medication(s) included: metformine hcl. past drug history included: amoxicilline, reaction(s): "allergy to antibiotic". vaccination history included: comirnaty (dose 1), administration date: 29may2021, for covid-19 immunisation, reaction(s): "no adverse reaction". the following information was reported: latent autoimmune diabetes in adults (medically significant) with onset jul2021, outcome "not recovered", described as "latent autoimmune diabetes in adults/ trigger for onset of type 1 diabetes"; blood glucose increased (medically significant) with onset nov2021, outcome "not recovered", described as "blood glucose increased". the events "latent autoimmune diabetes in adults/ trigger for onset of type 1 diabetes" and "blood glucose increased" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: blood glucose value: (unspecified date) between 7 and 8, notes: stable; (nov2021) 11, notes: increased, at the next control visit for blood glucose and did not recover; blood test: (jul2021) diabetes type 1, notes: lada (latent autoimmune diabetes in adults) examination at the hospital. therapeutic measures were taken as a result of latent autoimmune diabetes in adults, blood glucose increased. the patient was treated with regular consult at internal medicine specialist, dietician, diabetes health care professional and medication (insulin). clinical course: latent autoimmune diabetes in adults: between 2 to 4 months after start during the period from july to november. no other possible causes beside the vaccination were known. no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
test name: blood glucose value; result unstructured data: test result:between 7 and 8; comments: stable; test date: 202111; test name: blood glucose value; result unstructured data: test result:11; comments: increased, at the next control visit for blood glucose and did not recover; test date: 202107; test name: blood test; result unstructured data: test result:diabetes type 1; comments: lada (latent autoimmune diabetes in adults) examination at the hospital
- Liste des symptômes
-
blood glucose increased blood test blood glucose latent autoimmune diabetes in adults
- 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
-
type 2 diabetes mellitus (for years)