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VAERS Report 2136793

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: 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