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: fa4598
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-05-17
- Date d’apparition
- 2
- Nombre de jours (date d’apparition – date de vaccination)
- 2
- Description de l’événement indésirable
-
upper eyelid ptosis left; after the 2nd vaccination left-sided facial paralysis; myasthenia gravis; double vision left eye; 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-2022-011641 . a 63 year-old male patient received bnt162b2 (comirnaty), administration date 17may2021 (lot number: fa4598) as dose 2, 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. the following information was reported: eyelid ptosis (medically significant) with onset 19may2021, outcome "recovered", described as "upper eyelid ptosis left"; facial paralysis (medically significant) with onset 19may2021, outcome "recovered", described as "after the 2nd vaccination left-sided facial paralysis"; myasthenia gravis (medically significant) with onset 19may2021, outcome "recovered", described as "myasthenia gravis"; diplopia (medically significant) with onset 19may2021, outcome "recovered", described as "double vision left eye". no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : -pfizer inc-202200259281 2nd/3rd dose
- Données de laboratoire
-
na
- Liste des symptômes
-
eyelid ptosis diplopia facial paralysis myasthenia gravis
- 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?
- Non
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
na