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: ff2832
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-09-24
- Date d’apparition
- 1
- Nombre de jours (date d’apparition – date de vaccination)
- 1
- Description de l’événement indésirable
-
unconsciousness; she was physically weakened for 3 weeks; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. a 16 year-old female patient received bnt162b2 (comirnaty), administration date 24sep2021 (lot number: ff2832) as dose 2, single for covid-19 immunisation. relevant medical history included: "hay fever" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. the following information was reported: loss of consciousness (medically significant) with onset 25sep2021, outcome "recovered", described as "unconsciousness"; asthenia (non-serious) with onset 25sep2021, outcome "recovered" (oct2021), described as "she was physically weakened for 3 weeks". no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
asthenia 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