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