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