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VAERS Report 2156714

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

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
2021-01-11
Date d’apparition
7
Nombre de jours (date d’apparition – date de vaccination)
7
Description de l’événement indésirable

itchy; hyperpigmentation; rash papular/follicular type rash; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202141649392670-fqm05 (ra). other case identifier(s): gb-mhra-adr 26602403 (ra). a 29 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administered in arm left, administration date 11jan2021 (lot number: ee8493) as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. there were no concomitant medications. the patient has follicular type rash on both upper arms which she reports occured approximately 1 week after each covid vaccination on btoh arms. she reports it being extremely itchy and occuring despite changing arms for administration. the record states vaccination only given in left arm. no further itch but has hyperpigmentation from where lesions occurred in follicular/ papular type appearance. the following information was reported: pruritus (medically significant), outcome "not recovered", described as "itchy"; rash papular (medically significant) with onset 18jan2021, outcome "recovered", described as "rash papular/follicular type rash"; skin hyperpigmentation (medically significant), outcome "not recovered", described as "hyperpigmentation". no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200315020 same patient, same product, different dose and different event.;gb-pfizer inc-202200315021 same patient, same product, different dose and different event (loe)

Données de laboratoire
na
Liste des symptômes
pruritus rash papular skin hyperpigmentation
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