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VAERS Report 2156626

Case Report Section

Détails du rapport Vaer

Âge: 76 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: fn4817


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-12
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

polymyalgia rheumatica aggravated; vomiting; loss of appetite; muscle pain in right thigh and shoulder; tummy upset which involved several trips to the loo; off label use; interchange of vaccine products; booster; overdose; severe shivering; severe shaking; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). the reporter is the patient. other case identifier(s): gb-mhra-vac-202202162006192950-vrm1t (ra), gb-mhra-adr 26611647 (ra). a 76 year-old male patient received bnt162b2 (comirnaty), administration date 12feb2022 (lot number: fn4817) at the age of 76 years as dose 4 (booster), 30 mg single for covid-19 immunisation. relevant medical history included: "polymyalgia rheumatica" (ongoing); "blood pressure raised" (unspecified if ongoing); "blood cholesterol" (unspecified if ongoing); "brachytherapy to prostate" (unspecified if ongoing). concomitant medication(s) included: lisinopril taken for blood pressure increased, start date: 2007; simvastatin taken for blood cholesterol abnormal, start date: 2007; tamsulosin taken for brachytherapy to prostate, start date: 07aug2017; adcal d3; omeprazole; alendronic acid. past drug history included: steroid. vaccination history included: comirnaty (dose 3 (booster), single, lot number: fh8469), administration date: 10oct2021, for covid-19 immunisation, reaction(s): "vomiting", "muscle pain", "tummy upset", "loss of appetite", "shivering", "shaking", "polymyalgia rheumatica aggravated", "off label use", "interchange of vaccine products"; covid-19 vaccine astrazeneca (dose 1), administration date: 2021, for covid-19 immunisation, reaction(s): "mild side effects"; covid-19 vaccine astrazeneca (dose 2), administration date: 2021, for covid-19 immunisation, reaction(s): "mild side effects". the following information was reported: off label use (medically significant) with onset 12feb2022, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 12feb2022, outcome "unknown", described as "interchange of vaccine products"; immunisation (medically significant) with onset 12feb2022, outcome "unknown", described as "booster"; polymyalgia rheumatica (medically significant), outcome "not recovered", described as "polymyalgia rheumatica aggravated"; myalgia (non-serious) with onset 12feb2022, outcome "not recovered", described as "muscle pain in right thigh and shoulder"; abdominal discomfort (non-serious) with onset 12feb2022, outcome "recovered" (13feb2022), described as "tummy upset which involved several trips to the loo"; vomiting (non-serious) with onset 13feb2022, outcome "recovered with sequelae" (13feb2022), described as "vomiting"; decreased appetite (non-serious) with onset 12feb2022, outcome "recovered" (14feb2022), described as "loss of appetite"; chills (non-serious), outcome "recovered", described as "severe shivering"; tremor (non-serious), outcome "recovered", described as "severe shaking"; overdose (non-serious) with onset 12feb2022, outcome "unknown", described as "overdose". clinical course: patient had 4th booster vaccination. 1st and 2nd vaccines were astra zeneca with only mild side effects. severe shivering and shaking that lasted approximately 36 hours that was uncontrollable. vomiting through saturday evening, night and into sunday. he was polymyalgia rheumatica sufferer and vaccine aggravated his condition by experiencing uncomfortable muscle pain in right thigh and shoulder which at the time of this report has not fully recovered. tummy upset which involved several trips to the loo. loss of appetite which never fully recovered until the monday. from saturday evening through to sunday night, nil by mouth with just the odd mouthful of water. after, light bites only, toast etc. the 3rd booster pfizer vaccine he had (batch no.fh8469) on 10oct2021 had identical side effects where he was laid low for about 36 hours. he also taken prescribed drugs to alleviate long term use of steriod intake. ad-cal3, omeprazole 20mg daily and alendronic acid 70mg weekly. patient obtained drug 1 from vaccination centre. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
chills vomiting polymyalgia rheumatica decreased appetite tremor overdose myalgia interchange of vaccine products abdominal discomfort immunisation off label use
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
polymyalgia rheumatica