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VAERS Report 2156725

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
2022-02-11
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

pain legs/painful upper legs at the back; dose 1: 02nov2021; dose 2: 11feb2022; finding it hard to walk as painful.; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202150817156890-aetbb (ra). other case identifier(s): gb-mhra-adr 26605927 (ra). a 14 year-old male patient received bnt162b2 (comirnaty), administration date 11feb2022 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "immunodeficiency" (unspecified if ongoing), notes: has an illness or condition, not listed above, which reduces the immune response (e.g. immunodeficiency); "asthma" (unspecified if ongoing); "anaphylaxis" (unspecified if ongoing), notes: allergies resulting in anaphylaxis. patient did not have symptoms associated with covid-19. the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1), administration date: 02nov2021, for covid-19 immunisation. the following information was reported: pain in extremity (medically significant) with onset 13feb2022, outcome "not recovered", described as "pain legs/painful upper legs at the back"; gait disturbance (medically significant) with onset feb2022, outcome "not recovered", described as "finding it hard to walk as painful."; inappropriate schedule of product administration (non-serious) with onset 11feb2022, outcome "unknown", described as "dose 1: 02nov2021; dose 2: 11feb2022". reported as painful upper legs at the back. finding it hard to walk as painful. the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (13dec2020) yes - positive covid-19 test. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. this case is 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
test date: 20201213; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
Liste des symptômes
pain in extremity gait disturbance inappropriate schedule of product administration sars-cov-2 test
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