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VAERS Report 2136856

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: 1g044a


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-09
Date d’apparition
4
Nombre de jours (date d’apparition – date de vaccination)
4
Description de l’événement indésirable

deep vein thrombosis - a second one occurred on 05dec; deep vein thrombosis leg; 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-2022-011110 (ra). a 38 year-old female patient received bnt162b2 (comirnaty), administration date 09nov2021 (lot number: 1g044a) 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 (dose 1, manufacturer unknown), for covid-19 immunization; covid-19 vaccine (dose 2, manufacturer unknown), for covid-19 immunization. the following information was reported: deep vein thrombosis (hospitalization) with onset 13nov2021, outcome "not recovered", described as "deep vein thrombosis leg"; deep vein thrombosis (hospitalization) with onset 05dec2021, outcome "not recovered", described as "deep vein thrombosis - a second one occurred on 05dec". therapeutic measures were taken as a result of deep vein thrombosis, deep vein thrombosis. clinical information: treatment of the side effect: further treated with blood thinning, anti-inflammatories, and surgical stocking. medication takes place for at least two more months. an operation must be performed later. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
deep vein thrombosis
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