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VAERS Report 2156754

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: fk0112


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-07
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
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?
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