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VAERS Report 2156698

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
2022-01-27
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

pain; shoulder pain around injection site; forearm pain; this is a spontaneous report from a contactable consumer from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202140849559140-4z94l. other case identifier: gb-mhra-adr 26600067. a 50-year-old male patient received bnt162b2 (comirnaty), administration date 27jan2022 as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. 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. the following information was reported: pain (medically significant) with onset 28jan2022, outcome "not recovered", described as "pain"; arthralgia (medically significant) with onset 28jan2022, outcome "not recovered", described as "shoulder pain around injection site"; pain in extremity (medically significant) with onset jan2022, outcome "unknown", described as "forearm pain". patient developed shoulder pain around injection site the day after. it began to subside in the following days but then became more intense recently and spread to forearm. no investigations were conducted. the report was not related to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
arthralgia pain in extremity pain
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