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VAERS Report 2156717

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
2021-12-16
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

tired out; confusion; primary immunisation: unknown manufacturer (at least one non-pfizer covid-19 vaccine); booster: comirnaty; primary immunisation: unknown manufacturer; (at least one non-pfizer covid-19 vaccine); booster: comirnaty; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the medicines and healthcare products regulatory agency (uk-mhra). regulatory number: gb-mhra-webcovid-202202141915419340-9dj6m (mhra). other case identifier: gb-mhra-adr 26603313 (mhra). a 48-year-old female patient received bnt162b2 (comirnaty), administration date 16dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the patient had no symptoms associated with covid-19 and not had a covid-19 test. the patient was not enrolled in clinical trial. vaccination history included: covid 19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation; covid 19 vaccine (dose 2, manufacturer unknown), for covid-19 immunisation. the following information was reported: off label use (medically significant) with onset 16dec2021, outcome "unknown", described as "primary immunisation: unknown manufacturer (at least one non-pfizer covid-19 vaccine); booster: comirnaty"; interchange of vaccine products (medically significant) with onset 16dec2021, outcome "unknown", described as "primary immunisation: unknown manufacturer; (at least one non-pfizer covid-19 vaccine); booster: comirnaty"; fatigue (medically significant) with onset 30dec2021, outcome "not recovered", described as "tired out"; confusional state (medically significant) with onset 29dec2021, outcome "not recovered", described as "confusion". the patient had not tested positive for covid-19 since having the vaccine. 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
fatigue confusional state interchange of vaccine products 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
na