Détails du rapport Vaer
Région : Outside US
- Patient décédé?
- Renseignements sur les vaccins
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
- Date de réception du rapport
- Date à laquelle le formulaire est complèté
- Date de vaccination
- Date d’apparition
- Nombre de jours (date d’apparition – date de vaccination)
- Description de l’événement indésirable
sore arm after 3 months and could not lift above shoulder height; cannot lift above shoulder height; primary immunisation: dose one unknown manufacturer and dose two astrazeneca; booster: comirnaty; primary immunisation: dose one unknown manufacturer and dose two astrazeneca; booster: comirnaty; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory number: gb-mhra-webcovid-202202152225551620-sd7vq. a 57 year-old female patient received bnt162b2 (comirnaty), administration date 07nov2021 (lot number: fk0112) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine astrazeneca (dose number unknown), administration date: 22may2021, for covid-19 immunisation; covid-19 vaccine (dose number unknown,manufacturer unknown), for covid-19 immunisation. patient has not had symptoms associated with covid-19. patient is not enrolled in clinical trial. the following information was reported: off label use (medically significant), interchange of vaccine products (medically significant) all with onset 07nov2021, outcome "unknown" and all described as "primary immunisation: dose one unknown manufacturer and dose two astrazeneca; booster: comirnaty"; pain in extremity (medically significant) with onset 04dec2021, outcome "not recovered", described as "sore arm after 3 months and could not lift above shoulder height"; hypokinesia (medically significant) with onset 04dec2021, outcome "not recovered", described as "cannot lift above shoulder height". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. patient has not tested positive for covid-19 since having the vaccine. the reporter considered the report was not relate dto possible inflammation of the heart (myocarditis or pericarditis). clinical course: sore arm after 3 months - cannot lift above shoulder height. no follow-up attempts are possible. 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
hypokinesia pain in extremity interchange of vaccine products sars-cov-2 test off label use
- Patient décédé?
- Date de décès
- Anomalie congénitale
- Vaccin administré par :
- Vaccin acheté par :
- Visite d’un patient à l’urgence?
- Patient hospitalisé?
- Séjour à l’hôpital
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Maladie actuelle