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VAERS Report 2136860

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: 31134tb


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-04
Date d’apparition
2
Nombre de jours (date d’apparition – date de vaccination)
2
Description de l’événement indésirable

recurrence. sensitivity disorders occurring in both legs/feet up to the knee and in the upper extremity up to the elbow; patient has had constant occipital headaches since the 2nd vaccination (also 2 days later).; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: at-basgages-2022-014160. a 27 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 04dec2021 (lot number: 31134tb) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (1st dose, manufacturer unknown), for covid-19 immunisation. the following information was reported: sensory level abnormal (medically significant) with onset 06dec2021 07:00, outcome "not recovered", described as "recurrence. sensitivity disorders occurring in both legs/feet up to the knee and in the upper extremity up to the elbow"; headache (medically significant) with onset 06dec2021 07:00, outcome "not recovered", described as "patient has had constant occipital headaches since the 2nd vaccination (also 2 days later).". no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
sensory level abnormal headache
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