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VAERS Report 2156625

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: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2020-01-26
Date d’apparition
560
Nombre de jours (date d’apparition – date de vaccination)
560
Description de l’événement indésirable

vomit bile; when lying, patient is in pain; heart burn; indigestion; firey chest burning pain; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. a 54 year-old male patient received bnt162b2 (bnt162b2), administration date 26jan2020 (batch/lot number: unknown) as dose number unknown, single for covid-19 immunisation. relevant medical history included: "chronic obstructive pulmonary disease" (unspecified if ongoing); "asthma" (unspecified if ongoing); "arthritis in ankle" (unspecified if ongoing); "dupuytren's contracture" (unspecified if ongoing). the patient's concomitant medications were not reported. the following information was reported: dyspepsia (medically significant) with onset 08aug2021, outcome "not recovered", described as "heart burn"; dyspepsia (medically significant) with onset 08aug2021, outcome "not recovered", described as "indigestion"; chest pain (medically significant) with onset 08aug2021, outcome "not recovered", described as "firey chest burning pain"; vomiting (non-serious), outcome "unknown", described as "vomit bile "; pain (non-serious), outcome "unknown", described as "when lying, patient is in pain". the patient doesn't think that the reactions occurred as a result of a mistake made in the administration of the vaccine. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: due to implausible temporal association, the events dyspepsia, chest pain, vomiting and pain are assessed as not related to bnt162b2

Données de laboratoire
na
Liste des symptômes
vomiting chest pain pain dyspepsia
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