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VAERS Report 2136786

Case Report Section

Détails du rapport Vaer

Âge: 61 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: ff2832


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-10-04
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

heavy night sweats; elevated liver values; pyrexia; fatigue; headache; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: at-basgages-2021-064470 (ra). a 61 year-old female patient received bnt162b2 (comirnaty), administration date 04oct2021 (lot number: ff2832) at the age of 61 years as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunization. the following information was reported: liver function test abnormal (medically significant) with onset 11oct2021, outcome "not recovered", described as "elevated liver values"; pyrexia (non-serious) with onset 11oct2021, outcome "recovered", described as "pyrexia"; hyperhidrosis (non-serious) with onset 16oct2021, outcome "recovered", described as "heavy night sweats"; fatigue (non-serious) with onset 04oct2021, outcome "recovered", described as "fatigue"; headache (non-serious) with onset 04oct2021, outcome "not recovered", described as "headache". the patient underwent the following laboratory tests and procedures: blood test: (04nov2021) elevated liver values. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20211104; test name: blood test; result unstructured data: test result:elevated liver values
Liste des symptômes
hyperhidrosis fatigue headache pyrexia liver function test abnormal blood test
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