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VAERS Report 2136852

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Renseignements sur les vaccins


Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: sdcc8

Date de réception du rapport
Date à laquelle le formulaire est complèté
Date de vaccination
Date d’apparition
Nombre de jours (date d’apparition – date de vaccination)
Description de l’événement indésirable

grade 3 thrombosis in the right leg; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. the reporter is the patient. regulatory number: at-basgages-2022-010602. a 68 year-old male patient received bnt162b2 (comirnaty) (lot number: sdcc8) 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, lot ex0893), for covid-19 immunization; comirnaty (dose 2, single, lot fd1921), for covid-19 immunization. the following information was reported: thrombosis (medically significant) with onset 16dec2021, outcome "not recovered", described as "grade 3 thrombosis in the right leg". the event "grade 3 thrombosis in the right leg" was evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: magnetic resonance imaging: (unspecified date) thrombosis in the knee area; platelet count: (21dec2021) 207 10*6/ml. therapeutic measures were taken as a result of thrombosis. clinical course: it was reported that patient had planned knee operation, in the course of which the thrombosis was discovered in the knee area during the preparations for the operation in the mri. patient was only treated as an outpatient in hospital, no blood was taken, was given a thrombosis injection. xarelto 15 mg (1-0-1) for 3 weeks and since then 20 mg (1-0-0). no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: mri; result unstructured data: test result:thrombosis in the knee area; test date: 20211221; test name: platelet count; result unstructured data: test result:207 10*6/ml
Liste des symptômes
thrombosis magnetic resonance imaging platelet count
Patient décédé?
Date de décès
Anomalie congénitale
Vaccin administré par :
Vaccin acheté par :
Visite d’un patient à l’urgence?
Patient hospitalisé?
Séjour à l’hôpital
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Maladie actuelle