Page breadcrumb nav

VAERS Report 2156729

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
2022-01-30
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

tinnitus, unspecified; joint pain; neck pain; swollen lymph nodes; headache; primary immunisation: moderna; booster: comirnaty; primary immunisation: moderna; booster: comirnaty; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory authority. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202150937336230-54alo (ra). other case identifier: gb-mhra-adr 26606478 (ra). a 47-year-old male patient received bnt162b2 (comirnaty), administration date 30jan2022 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 05mar2020, stop date: 06apr2020. the patient had not had a covid-19 test and was not enrolled in clinical trial. the patient's concomitant medications were not reported. vaccination history included: moderna covid-19 vaccine (dose 1, single), administration date: 28apr2021, for covid-19 immunisation; moderna covid-19 vaccine (dose 2, single), administration date: 17jun2021, for covid-19 immunisation. the following information was reported: off label use (medically significant), interchange of vaccine products (medically significant) all with onset 30jan2022, outcome "unknown" and all described as "primary immunisation: moderna; booster: comirnaty"; lymphadenopathy (medically significant) with onset 02feb2022, outcome "recovering", described as "swollen lymph nodes"; neck pain (medically significant) with onset 07feb2022, outcome "not recovered", described as "neck pain"; headache (medically significant) with onset 31jan2022, outcome "not recovered", described as "headache"; tinnitus (medically significant) with onset 10feb2022, outcome "not recovered", described as "tinnitus, unspecified"; arthralgia (medically significant) with onset 07feb2022, outcome "not recovered", described as "joint pain". the patient had not tested positive for covid-19 since having the vaccine. clinical course: the reactions happened as reported, initially did not link the symptoms with the vaccine except for the swollen lymph nodes. normally the patient was in good health and the persistence of the other symptoms had led the patient to believe they are linked to the vaccine. the patient did not normally suffer with the other symptoms at all in his life. they are highly irregular and persistent at the time of this report. 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
tinnitus headache arthralgia lymphadenopathy neck pain 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