Page breadcrumb nav

VAERS Report 2156582

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: ew2245


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-06-08
Date d’apparition
23
Nombre de jours (date d’apparition – date de vaccination)
23
Description de l’événement indésirable

psoriasis; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. other case identifier(s): gb-mhra-adr 26597505 (mhra), gb-mhra-vac-202202120828545530-ujmwy. a 73 year-old male patient received bnt162b2 (bnt162b2), administration date 08jun2021 (lot number: ew2245) as dose 1, single for covid-19 immunisation. relevant medical history included: "hypertension" (unspecified if ongoing); "oesophageal acid reflux" (unspecified if ongoing); "hypercholesteremia" (unspecified if ongoing). concomitant medication(s) included: atorvastatin taken for hypercholesterolaemia, start date: 2019; clopidogrel taken for hypercholesterolaemia, start date: 2019; lansoprazole taken for gastrooesophageal reflux disease, start date: 2019; hydrochlorothiazide;losartan taken for hypertension, start date: 2008. 30 square centimeter dry skin patch near knee, possibly psoriasis. no previous history. appeared within two or three weeks of initial vaccination. the patient did not think that this reaction occurred as a result of a mistake made in the administration of the vaccine. the following information was reported: psoriasis (medically significant) with onset 01jul2021, outcome "not recovered", described as "psoriasis". no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
psoriasis
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