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VAERS Report 2156622

Case Report Section

Détails du rapport Vaer

Âge: 57 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fd8813


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-08-08
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

coughing; loss of smell/ no smell; loss of taste/ no taste; sleepiness/ falling asleep all of the time; loss of energy/ lack of energy; light headedness; headache all the time; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra. other case identifier(s): gb-mhra-adr 26621339, gb-mhra-vac-202202151029248590-7z2xr. a 57 year-old male patient received bnt162b2 (bnt162b2), administration date 08aug2021 (lot number: fd8813) at the age of 57 years as dose number unknown, single for covid-19 immunisation. the patient had no relevant medical history. the patient's concomitant medications were not reported. the following information was reported: headache (medically significant) with onset 08aug2021, outcome "not recovered", described as "headache all the time"; cough (medically significant), outcome "unknown", described as "coughing"; anosmia (medically significant), outcome "unknown", described as "loss of smell/ no smell"; ageusia (medically significant), outcome "unknown", described as "loss of taste/ no taste"; somnolence (medically significant), outcome "unknown", described as "sleepiness/ falling asleep all of the time"; asthenia (medically significant), outcome "unknown", described as "loss of energy/ lack of energy"; dizziness (medically significant), outcome "unknown", described as "light headedness". no follow-up attempts are needed. no further information is expected

Données de laboratoire
na
Liste des symptômes
ageusia headache asthenia dizziness cough somnolence anosmia
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