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VAERS Report 2156747

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
2021-09-29
Date d’apparition
95
Nombre de jours (date d’apparition – date de vaccination)
95
Description de l’événement indésirable

post-herpetic neuralgia; neuritis; herpes zoster; herpes zoster ophthalmicus; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulator yauthority. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202151840298540-oybkz. other case identifier(s): gb-mhra-adr 26608248. an 83-year-old female patient received bnt162b2 (comirnaty), administration date 29sep2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history was not reported. patient has not had symptoms associated with covid-19. patient is not enrolled in clinical trial. concomitant medication(s) included: influenza virus taken for immunisation, administration date 10sep2021. vaccination history included: bnt162b2 (dose 1, single), for covid-19 immunisation; bnt162b2 (dose 2, single), for covid-19 immunisation. the following information was reported: herpes zoster (medically significant) with onset 02jan2022, outcome "unknown", described as "herpes zoster"; ophthalmic herpes zoster (medically significant) with onset 02jan2022, outcome "recovering", described as "herpes zoster ophthalmicus"; post herpetic neuralgia (medically significant) with onset 24jan2022, outcome "unknown", described as "post-herpetic neuralgia"; neuritis (medically significant) with onset 24jan2022, outcome "unknown", described as "neuritis". the patient underwent the following laboratory tests and procedures: covid-19 virus test: no - negative covid-19 test. additional information: on 02jan2022 herpes zoster broke out on patient's face, followed by post-herpetic neuralgia/neuritis on 24jan2022. patient was not stressed or run down. it was also reported that patient was a very healthy who had no record of any serious illness. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
Liste des symptômes
neuritis herpes zoster ophthalmic herpes zoster sars-cov-2 test post herpetic neuralgia
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