Détails du rapport Vaer
Âge: 82 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
- 2021-11-04
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
lung pain; myalgia; arthralgia; partially mentally absent, decreased concentration; 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-2021-077953. a 82 year-old female patient received bnt162b2 (comirnaty), administration date 04nov2021 (batch/lot number: unknown) at the age of 82 years as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single.), for covid-19 immunisation; comirnaty (dose 2, single.), for covid-19 immunisation. the following information was reported: pulmonary pain (hospitalization) with onset 10dec2021, outcome "not recovered", described as "lung pain"; arthralgia (hospitalization) with onset 04nov2021, outcome "not recovered", described as "arthralgia"; myalgia (hospitalization) with onset 06dec2021, outcome "not recovered", described as "myalgia"; disturbance in attention (non-serious) with onset 10dec2021, outcome "not recovered", described as "partially mentally absent, decreased concentration". 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
-
arthralgia myalgia disturbance in attention pulmonary 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?
- Oui
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
na