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VAERS Report 2156764

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fn5254


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-15
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

nausea; headache; vaccination site pain; sickness; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202161136080030-yz3eb (ra). other case identifier(s): gb-mhra-adr 26609688 (ra). a 31 year-old male patient received bnt162b2 (comirnaty), administration date 15feb2022 (lot number: fn5254) as dose 1, single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 09jan2022 (unspecified if ongoing). concomitant medication(s) included: paracetamol, start date: 16feb2022. the following information was reported: nausea (medically significant) with onset 16feb2022, outcome "not recovered", described as "nausea"; headache (medically significant) with onset 16feb2022, outcome "not recovered", described as "headache"; vaccination site pain (medically significant) with onset 16feb2022, outcome "not recovered", described as "vaccination site pain"; illness (medically significant) with onset 16feb2022, outcome "not recovered", described as "sickness". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (09jan2022) positive. clinical course: the patient had not had symptoms associated with covid-19. the patient had not tested positive for covid-19 since having the vaccine. the patient was not enrolled in clinical trial. this report was not related to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20220109; test name: covid-19 virus test; test result: positive
Liste des symptômes
nausea headache sars-cov-2 test vaccination site pain illness
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