Page breadcrumb nav

VAERS Report 2156683

Case Report Section

Détails du rapport Vaer

Âge: 13 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: fn1664


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-09
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

vomiting; feeling sick; comirnaty was administered after 42 days of primary dose.; headache; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory authority(ra). regulatory number: gb-mhra-webcovid-202202101133351130-znqcy (ra). other case identifier: gb-mhra-adr 26592579 (ra). a 13 year-old male patient received bnt162b2 (comirnaty), administration date 09feb2022 (lot number: fn1664) at the age of 13 years as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single; lot number: unknown), administration date: 07nov2021, for covid-19 immunisation. the following information was reported: headache (medically significant) with onset 09feb2022, outcome "recovering", described as "headache"; vomiting (medically significant) with onset 10feb2022, outcome "not recovered", described as "vomiting"; malaise (medically significant) with onset 10feb2022, outcome "unknown", described as "feeling sick"; inappropriate schedule of product administration (non-serious) with onset 09feb2022, outcome "unknown", described as "comirnaty was administered after 42 days of primary dose.". clinical course: patient experienced headache night of vaccination, sick feeling and vomiting next day. patient had not had symptoms associated with covid-19, not had a covid-19 test. patient had not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
malaise vomiting headache inappropriate schedule of product administration
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