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VAERS Report 2136787

Case Report Section

Détails du rapport Vaer

Âge: 31 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
2021-07-22
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

cardiac pain; cardiac disorder; fever chills; application site pain; headache; myalgia; arthralgia; fatigue; 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-2021-064479 (ra). a 31 year-old female patient received bnt162b2 (comirnaty), administration date 22jul2021 (lot number: unknown) at the age of 31 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 unk), for covid-19 immunization. the following information was reported: angina pectoris (medically significant) with onset 22jul2021, outcome "recovered", described as "cardiac pain"; cardiac disorder (non-serious) with onset 22jul2021, outcome "recovered", described as "cardiac disorder"; pyrexia (non-serious) with onset 22jul2021, outcome "recovered", described as "fever chills"; vaccination site pain (non-serious) with onset 22jul2021, outcome "recovered", described as "application site pain"; headache (non-serious) with onset 22jul2021, outcome "recovered", described as "headache"; myalgia (non-serious) with onset 22jul2021, outcome "recovered", described as "myalgia"; arthralgia (non-serious) with onset 22jul2021, outcome "recovered", described as "arthralgia"; fatigue (non-serious) with onset 22jul2021, outcome "recovered", described as "fatigue". no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
fatigue angina pectoris headache arthralgia pyrexia myalgia cardiac disorder vaccination site pain
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