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VAERS Report 2156731

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: fn5254


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-21
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

off label use; interchange of vaccine products; loss of consciousness; fever/high temperature; swollen lymph nodes/grapefruit sized swelling in left armpit; unable to take in any food or fluids; this is a spontaneous report received from a contactable reporter(s) (consumer or other non-hcp) from the regulatory authority. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202151134029710-t4df4. a female patient received bnt162b2 (comirnaty), administration date 21dec2021 (lot number: fn 5254) as dose 3 (booster), single for covid-19 immunization. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine astrazeneca (dose: 1), administration date: 05may2021, for covid-19 immunization; covid-19 vaccine astrazeneca (dose: 2), administration date: 21jul2021, for covid-19 immunization. the patient has not had symptoms associated with covid-19. the patient has not tested positive for covid-19 since having the vaccine. the following information was reported: off label use (medically significant) with onset 21dec2021, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 21dec2021, outcome "unknown", described as "interchange of vaccine products"; loss of consciousness (medically significant) with onset 21dec2021, outcome "recovered" (23dec2021), described as "loss of consciousness"; feeding disorder (medically significant) with onset dec2021, outcome "unknown", described as "unable to take in any food or fluids"; pyrexia (medically significant) with onset 21dec2021, outcome "recovered" (23dec2021), described as "fever/high temperature"; lymphadenopathy (medically significant) with onset 21dec2021, outcome "recovered" (24dec2021), described as "swollen lymph nodes/grapefruit sized swelling in left armpit". the patient underwent the following laboratory tests and procedures: body temperature: (21dec2021) high; sars-cov-2 test: (unspecified date) no - negative covid-19 test. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20211221; test name: high temperature; result unstructured data: test result:high; test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
Liste des symptômes
lymphadenopathy pyrexia loss of consciousness interchange of vaccine products sars-cov-2 test body temperature feeding disorder 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