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VAERS Report 2136791

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

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
2021-11-25
Date d’apparition
6
Nombre de jours (date d’apparition – date de vaccination)
6
Description de l’événement indésirable

feeling sick; swollen lymph nodes near the ear; weakness; tiredness; pain; shingles on the face (forehead, eye, right); this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: at-basgages-2021-065561 . a 67 year-old male patient received bnt162b2 (comirnaty), administration date 25nov2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (1st dose, manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (2nd dose, manufacturer unknown), for covid-19 immunisation. the following information was reported: malaise (medically significant) with onset 01dec2021, outcome "recovered", described as "feeling sick"; lymphadenopathy (medically significant) with onset 01dec2021, outcome "recovered", described as "swollen lymph nodes near the ear"; asthenia (medically significant) with onset 01dec2021, outcome "recovered", described as "weakness"; fatigue (medically significant) with onset 01dec2021, outcome "recovered", described as "tiredness"; pain (medically significant) with onset 01dec2021, outcome "recovered", described as "pain"; herpes zoster (medically significant) with onset 01dec2021, outcome "recovered", described as "shingles on the face (forehead, eye, right)". therapeutic measures were taken as a result of malaise, lymphadenopathy, asthenia, fatigue, pain, herpes zoster. clinical course: shingles on the face (forehead, eye, right) tiredness, weakness, feeling sick, pain, swollen lymph nodes near the ear. treatment given for shingles included viropel 1000 film-coated tablets, ointment. outcome improved, crust still present. 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
malaise fatigue pain asthenia lymphadenopathy herpes zoster
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