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VAERS Report 2156575

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Unknown

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-02-01
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

suicidal ideation; hormonal imbalance; premenstrual dysphoric disorder; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). other case identifier(s): gb-mhra-adr 26596185 (ra), gb-mhra-vac-202202112241243780-rn1oe (ra). a patient (no qualifiers provided) received bnt162b2 (covid-19 manufacturer unknown), administration date feb2021 (batch/lot number: unknown) as dose number unknown, single for covid-19 immunisation. relevant medical history included: "type ii diabetes mellitus" (unknown if ongoing). concomitant medication(s) included: metformin. the patient experienced hormonal imbalance leading to symptoms of premenstrual dysphoric disorder and passive suicide ideation, lasted 3 months per vaccination. the following information was reported: suicidal ideation (disability, medically significant) with onset feb2021, outcome "not recovered", described as "suicidal ideation"; hormone level abnormal (disability, medically significant) with onset feb2021, outcome "not recovered", described as "hormonal imbalance"; premenstrual dysphoric disorder (disability, medically significant) with onset feb2021, outcome "not recovered", described as "premenstrual dysphoric disorder". no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
hormone level abnormal suicidal ideation premenstrual dysphoric disorder
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?
Oui
Allergies:
na
Maladie actuelle
na