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VAERS Report 2136859

Case Report Section

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