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VAERS Report 2156606

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
2022-01-31
Date d’apparition
12
Nombre de jours (date d’apparition – date de vaccination)
12
Description de l’événement indésirable

cerebral thrombosis; headache; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory agency (ra). other case identifier(s): gb-mhra-vac-202202131552084510-d7vmc (ra), gb-mhra-adr 26598508 (ra). a 42 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 31jan2022 (batch/lot number: unknown) as dose number unknown(booster), single for covid-19 immunisation. relevant medical history included: "pulmonary embolism", start date: 2016 (unknown if ongoing). the patient's concomitant medications were not reported. the following information was reported: cerebral thrombosis (hospitalization, medically significant) with onset 12feb2022, outcome "not recovered", described as "cerebral thrombosis"; headache (hospitalization, medically significant) with onset 12feb2022, outcome "unknown", described as "headache". 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
headache cerebral thrombosis
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?
Non
Allergies:
na
Maladie actuelle
na