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VAERS Report 2136861

Case Report Section

Détails du rapport Vaer

Âge: 8 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fn4071


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-28
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

pyrexia; headache; fatigue; eye pain and dizziness; eye pain and dizziness; arthralgia; 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-2022-014665. a 8 year-old female patient received bnt162b2 (comirnaty), administration date 28jan2022 (lot number: fn4071) at the age of 8 years 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 (dose 1, manufacturer unknown), for covid-19 immunization. the following information was reported: pyrexia (medically significant) with onset 02feb2022, outcome "unknown", described as "pyrexia"; headache (non-serious) with onset 02feb2022, outcome "unknown", described as "headache"; fatigue (non-serious) with onset 29jan2022, outcome "unknown", described as "fatigue"; eye pain (non-serious), dizziness (non-serious) all with onset 29jan2022, outcome "unknown" and all described as "eye pain and dizziness"; arthralgia (non-serious) with onset 28jan2022, outcome "unknown", described as "arthralgia". no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
fatigue headache arthralgia dizziness eye pain pyrexia
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