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