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VAERS Report 2156579

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

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
2021-07-30
Date d’apparition
26
Nombre de jours (date d’apparition – date de vaccination)
26
Description de l’événement indésirable

pain; breathlessness/difficulty breathing; exhaustion; unable to walk far; pulmonary embolism; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. other case identifier(s): gb-mhra-vac-202202120700197040-yrebu, gb-mhra-adr 26597451. a 33 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 30jul2021 (batch/lot number: unknown) as dose number unknown, single for covid-19 immunisation. the patient's relevant medical history was not reported. patient is not pregnant, patient is not currently breastfeeding. the patient took concomitant medications. the following information was reported: pulmonary embolism (hospitalization, disability, medically significant) with onset 25aug2021, outcome "not recovered", described as "pulmonary embolism"; pain (hospitalization, disability, medically significant), outcome "unknown", described as "pain"; dyspnoea (hospitalization, disability, medically significant), outcome "unknown", described as "breathlessness/difficulty breathing"; fatigue (hospitalization, disability, medically significant), outcome "unknown", described as "exhaustion"; gait inability (hospitalization, disability, medically significant), outcome "unknown", described as "unable to walk far". detail course was reported as pain, difficulty breathing, breathlessness, on blood thinners long term. unable to walk far, exhaustion. drug 1 where was the medicine obtained: "vaccine centre". detail course was reported as pain, difficulty breathing, breathlessness, on blood thinners long term. unable to walk far, exhaustion. drug 1 where was the medicine obtained: "vaccine centre". 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
fatigue pain dyspnoea pulmonary embolism gait inability
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Oui
Allergies:
na
Maladie actuelle
na