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VAERS Report 2156599

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: fk9712


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-17
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

menstruation delayed; anxiety; confusional state; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory authority. other case identifiers: gb-mhra-vac-202202131037489010-pachv and gb-mhra-adr 26598341. a 41-year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 17dec2021 (lot number: fk9712) as dose 3 (booster), single for covid-19 immunization. relevant medical history included: "hypothyroidism"; "polycystic ovaries"; and "allergy to antibiotic" (all unknown if ongoing). patient last menstrual period date 30jan2022 and not currently breastfeeding. concomitant medications included: levothyroxine taken for hypothyroidism, start date: jul2010 and metformin taken for polycystic ovaries. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), and covid-19 vaccine (dose 2, manufacturer unknown) both given for covid-19 immunization. then, received the booster dose of bnt162b2 (comirnaty) on 17dec2021. it was mentioned that the patient had menstrual period delayed on 24dec2021 by a week causes some anxiety and confusion in dec2021 but was not physically uncomfortable. events were considered as serious (medically significant). the patient recovered from menstrual period delayed on 30dec2021 while unknown for the remaining events. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
anxiety confusional state menstruation delayed
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