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: fd6840
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-06-29
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
cardiac arrhythmia; pulse rate increased; besides, a constant temperature between 37.5 and 38; tachycardia; inappropriate schedule of vaccine administered/ first dose on 18may2021 and second dose on 29jun2021; this is a spontaneous report received from contactable reporter(s) (consumer or other non hcp and physician) from the regulatory authority-web. regulatory number: at-basgages-2021-064705 (ra). a 39 year-old female patient received bnt162b2 (comirnaty), administration date 29jun2021 (lot number: fd6840) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1), administration date: 18may2021, for covid-19 immunization. the following information was reported: inappropriate schedule of product administration (medically significant) with onset 29jun2021, outcome "unknown", described as "inappropriate schedule of vaccine administered/ first dose on 18may2021 and second dose on 29jun2021"; arrhythmia (medically significant) with onset jul2021, outcome "recovered", described as "cardiac arrhythmia"; heart rate increased (medically significant) with onset jul2021, outcome "recovered", described as "pulse rate increased"; body temperature abnormal (medically significant) with onset jul2021, outcome "recovered", described as "besides, a constant temperature between 37.5 and 38"; tachycardia (medically significant) with onset jul2021, outcome "recovered", described as "tachycardia". the patient underwent the following laboratory tests and procedures: body temperature: between 37.5 and 38; heart rate: increased. no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
test name: body temperature; result unstructured data: test result:between 37.5 and 38 centigrade; test name: heart rate; result unstructured data: test result:increased
- Liste des symptômes
-
arrhythmia tachycardia heart rate increased inappropriate schedule of product administration body temperature body temperature abnormal heart rate
- 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