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VAERS Report 2156763

Case Report Section

Détails du rapport Vaer

Âge: 45 ans

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
2021-05-22
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

pain in feet; pains in arms/ pain in hand; pain in shoulder; sars-cov-2 infection; drug ineffective; swelling of feet; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority (ra). regulatory number: gb-ra-webcovid-202202161129578450-im6cw (ra). other case identifier(s): gb-ra-adr 26609716 (ra). a 45-year-old female patient (not pregnant) received bnt162b2 (pfizer-biontech covid-19 vaccine; lot number and expiration date were not reported), via an unspecified route of administration on 22may2021 (at the age of 45-years-old) as dose 1, single for covid-19 immunization. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: covid-19 (medically significant) with onset 02aug2021, outcome "recovered", described as "sars-cov-2 infection"; drug ineffective (medically significant) with onset 02aug2021, outcome "unknown", described as "drug ineffective"; peripheral swelling (medically significant) with onset 22may2021, outcome "recovered" (05jun2021), described as "swelling of feet"; pain in extremity (medically significant), outcome "unknown", described as "pain in feet"; pain in extremity (medically significant), outcome "unknown", described as "pains in arms/ pain in hand"; arthralgia (medically significant), outcome "unknown", described as "pain in shoulder". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (07aug2021) positive. patient is not pregnant; patient is not currently breastfeeding. patient is not enrolled in clinical trial. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200307665 same patient/drug and different dose/event

Données de laboratoire
test date: 20210807; test name: covid-19 virus test; test result: positive
Liste des symptômes
drug ineffective arthralgia pain in extremity covid-19 sars-cov-2 test peripheral swelling
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