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VAERS Report 2156743

Case Report Section

Détails du rapport Vaer

Âge: 71 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fl9994


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

joint discomfort; back ache; chest pain; shoulder pain; tightening of the chest; difficulty sleeping; severe flu symptoms; feeling cold; coughing; muscle ache; slept most of day downstairs; no interest in anything; chills; pain joint; decreased appetite; feeling unwell; tiredness; headache; ache all over/full on aches and pains; off label use; booster; pain in arm; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202151736155570-5pune (ra). a 71 year-old male patient received bnt162b2 (comirnaty), administration date 11feb2022 (lot number: fl9994) at the age of 71 years as dose 4 (booster), single for covid-19 immunisation. relevant medical history included: "kidney infection", start date: 1968 (unspecified if ongoing); "transplant", start date: 2016 (unspecified if ongoing); "steroid therapy" (unspecified if ongoing), notes: taking regular steroid treatment (e.g. orally or rectally); "reflux gastritis" (unspecified if ongoing); "prostration" (unspecified if ongoing); "blood pressure" (unspecified if ongoing); "gout" (unspecified if ongoing); "kidney transplant" (unspecified if ongoing). concomitant medication(s) included: allopurinol taken for gout, start date: 04jan1995; bisoprolol taken for blood pressure measurement, start date: 25aug2016; finasteride taken for fatigue, start date: 01jun2018; aspirin [acetylsalicylic acid], start date: 02jan1999; lipitor, start date: 02jan1987; omeprazole taken for reflux gastritis, start date: 03jan1998; prednisolone taken for renal transplant, start date: 25aug2016; mycophenolate mofetil taken for renal transplant, start date: 25aug2016; tacrolimus taken for renal transplant, start date: 25aug2016. past drug history included: mycophenolic acid. 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; covid-19 vaccine (dose: 3, manufacturer unknown), for covid-19 immunisation, reaction(s): "headache". the following information was reported: off label use (disability, medically significant) with onset 11feb2022, outcome "unknown", described as "off label use"; immunisation (disability, medically significant) with onset 11feb2022, outcome "unknown", described as "booster"; musculoskeletal discomfort (disability, medically significant) with onset 15feb2022, outcome "recovering", described as "joint discomfort"; influenza (disability, medically significant) with onset 13feb2022, outcome "recovering", described as "severe flu symptoms"; feeling cold (disability, medically significant) with onset 13feb2022, outcome "recovering", described as "feeling cold"; cough (disability, medically significant) with onset 13feb2022, outcome "recovering", described as "coughing" (coughed small amounts near white flehm of finger nail sized and used vapor rub ); fatigue (disability, medically significant) with onset 12feb2022, outcome "recovered" (15feb2022), described as "tiredness"; headache (disability, medically significant) with onset 12feb2022, outcome "recovering", described as "headache"; myalgia (disability, medically significant) with onset 13feb2022, outcome "not recovered", described as "muscle ache"; chills (disability, medically significant) with onset 12feb2022, outcome "recovering", described as "chills"; arthralgia (disability, medically significant) with onset 12feb2022, outcome "recovering", described as "pain joint"; decreased appetite (disability, medically significant) with onset 12feb2022, outcome "not recovered", described as "decreased appetite"; malaise (disability, medically significant) with onset 12feb2022, outcome "not recovered", described as "feeling unwell"; pain in extremity (disability, medically significant) with onset 11feb2022, outcome "unknown", described as "pain in arm"; chest discomfort (disability, medically significant) with onset 13feb2022, outcome "unknown", described as "tightening of the chest"; insomnia (disability, medically significant) with onset 13feb2022, outcome "unknown", described as "difficulty sleeping"; back pain (disability, medically significant) with onset 15feb2022, outcome "unknown", described as "back ache"; chest pain (disability, medically significant) with onset 15feb2022, outcome "unknown", described as "chest pain"; arthralgia (disability, medically significant) with onset 15feb2022, outcome "unknown", described as "shoulder pain"; pain (disability, medically significant) with onset 12feb2022, outcome "unknown", described as "ache all over/full on aches and pains"; somnolence (disability, medically significant) with onset 13feb2022, outcome "unknown", described as "slept most of day downstairs"; decreased interest (disability, medically significant) with onset 13feb2022, outcome "unknown", described as "no interest in anything". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative, notes: no - negative covid-19 test. therapeutic measures were taken as a result of cough. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. patient has not had symptoms associated with covid-19. due to existing medication she stayed clear of other medications. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-mhra-adr 26608244 ra

Données de laboratoire
test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test
Liste des symptômes
chills malaise back pain fatigue chest discomfort headache arthralgia chest pain decreased appetite pain in extremity pain insomnia cough musculoskeletal discomfort influenza somnolence myalgia sars-cov-2 test immunisation feeling cold off label use decreased interest
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?
Oui
Allergies:
na
Maladie actuelle
na