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: fk6304
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-12-21
- Date d’apparition
- 6
- Nombre de jours (date d’apparition – date de vaccination)
- 6
- Description de l’événement indésirable
-
hemolytic crisis in previously known hereditary spherocytosis; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority. regulatory number: at-basgages-2021-077689 (agency). a 29 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 21dec2021 (lot number: fk6304) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "hereditary spherocytosis", start date: 1992 (ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single), for covid-19 immunization; comirnaty (dose 2, single), for covid-19 immunization. the following information was reported: haemolysis (hospitalization, medically significant) with onset 27dec2021, outcome "recovering", described as "hemolytic crisis in previously known hereditary spherocytosis". relatedness of drug to reaction(s)/event(s) : health care professional / who assessment /probable/likely no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
haemolysis
- 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?
- Oui
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
hereditary spherocytosis