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VAERS Report 2156613

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Renseignements sur les vaccins


Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fl1939

Date de réception du rapport
Date à laquelle le formulaire est complèté
Date de vaccination
Date d’apparition
Nombre de jours (date d’apparition – date de vaccination)
Description de l’événement indésirable

urticarial vasculitis; fungal infection; urticaria; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. a 75 year-old male patient received bnt162b2 (bnt162b2), administration date 12dec2021 (lot number: fl1939) as dose 3 (booster) single for covid-19 immunisation. relevant medical history included: "eczema" (ongoing); "hip surgery" (unspecified if ongoing). concomitant medication(s) included: morphine taken for hip surgery, start date: 08nov2021, stop date: 31dec2021; paracetamol taken for hip surgery, start date: 08nov2021, stop date: 31dec2021. vaccination history included: covid-19 vaccine (dose 1; manufactuerer unknown); covid-19 vaccine (dose 2; manufactuerer unknown). the following information was reported: urticarial vasculitis (medically significant) with onset 20dec2021, outcome "recovering", described as "urticarial vasculitis"; fungal infection (non-serious) with onset 20dec2021, outcome "not recovered", described as "fungal infection"; urticaria (non-serious) with onset 20dec2021, outcome "recovering", described as "urticaria". the events "urticarial vasculitis", "fungal infection" and "urticaria" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: biopsy: (27jan2022) unknown; blood test: (27jan2022) unknown. clinical course: urticarial vasculitis. general practitioner suspected a fungal condition in my groin but did not respond to antibiotics. then referred to clinic and was seen on 27 jan and biopsy performed. report received on 7 feb identifying the condition which reported to be uctarial vascullitis that was certainly caused by booster. presecibed 4 weeks of steroids. now awaiting results of blood tests to see if other parts of body affected. drug 1 where was the medicine obtained: "gp surgery". no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20220127; test name: biopsy; result unstructured data: test result:unknown; test date: 20220127; test name: blood test; result unstructured data: test result:unknown
Liste des symptômes
urticaria biopsy blood test fungal infection urticarial vasculitis
Patient décédé?
Date de décès
Anomalie congénitale
Vaccin administré par :
Vaccin acheté par :
Visite d’un patient à l’urgence?
Patient hospitalisé?
Séjour à l’hôpital
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Maladie actuelle