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VAERS Report 2156635

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: fh4751


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-18
Date d’apparition
4
Nombre de jours (date d’apparition – date de vaccination)
4
Description de l’événement indésirable

suspected heart attack and stroke; suspected heart attack and stroke; pneumonia; sepsis; coma; dyspnoea/shortness of breath; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. other case identifier(s): gb-mhra-vac-202202171941520910-njxk0 (ra), gb-mhra-adr 26616941 (ra). a 67 year-old male patient received bnt162b2 (comirnaty), administration date 18nov2021 (lot number: fh4751) as dose number unknown (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: pneumonia (hospitalization, medically significant, life threatening) with onset 24nov2021, outcome "recovering", described as "pneumonia"; sepsis (hospitalization, medically significant, life threatening) with onset 24nov2021, outcome "recovering", described as "sepsis"; dyspnoea (hospitalization, life threatening) with onset 22nov2021, outcome "unknown", described as "dyspnoea/shortness of breath"; coma (hospitalization, medically significant, life threatening) with onset 24nov2021, outcome "unknown", described as "coma"; myocardial infarction (hospitalization, medically significant, life threatening), cerebrovascular accident (hospitalization, medically significant, life threatening), outcome "unknown" and all described as "suspected heart attack and stroke". the patient underwent the following laboratory tests and procedures: physical examination: unknown results. therapeutic measures were taken as a result of pneumonia, sepsis, dyspnoea, coma, myocardial infarction, cerebrovascular accident. clinical course: these drugs on before going into hospital, had no medical issues before having booster. began 22nov2021 with shortness of breath, 24nov2021 told to go to (confidential) hospital for tests, within 5 hours in coma on ventilator in intensive care unit (icu) for 3 weeks, needed 2 lots antibiotics, dialysis, muck pumped from left lung, suspected heart attack and stroke, after week on heart ward then week on rehab ward. this reaction did not occur as a result of a mistake made in the administration of the vaccine. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: physical examination; result unstructured data: test result:unknown results
Liste des symptômes
cerebrovascular accident sepsis myocardial infarction coma dyspnoea pneumonia physical examination
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