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VAERS Report 2156765

Case Report Section

Détails du rapport Vaer

Âge: 24 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
2022-02-14
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

headache; nausea; pain back; knee pain; groin pain; hip discomfort; itchy rash; rash; fever; off label use; interchange of vaccine products; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202161136153910-e1w3j (ra). other case identifier(s): gb-mhra-adr 26609712 (ra). a 24 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 14feb2022 (batch/lot number: unknown) at the age of 24 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 06jan2021, stop date: 01feb2021; "anxiety" (unspecified if ongoing). patient was not currently breastfeeding. concomitant medication(s) included: desogestrel; pregabalin taken for anxiety; venlafaxine. vaccination history included: covid-19 vaccine astrazeneca (dose 1), administration date: 07feb2021, for covid-19 immunization; covid-19 vaccine astrazeneca (dose 2), administration date: 14may2021, for covid-19 immunization. the following information was reported: off label use (medically significant) with onset 14feb2022, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 14feb2022, outcome "unknown", described as "interchange of vaccine products"; headache (medically significant) with onset 15feb2022, outcome "not recovered", described as "headache"; nausea (medically significant) with onset 15feb2022, outcome "not recovered", described as "nausea"; rash (medically significant) with onset 14feb2022, outcome "recovering", described as "rash"; pyrexia (medically significant) with onset 14feb2022, outcome "recovering", described as "fever"; back pain (medically significant) with onset 15feb2022, outcome "not recovered", described as "pain back"; arthralgia (medically significant) with onset 15feb2022, outcome "recovering", described as "knee pain"; groin pain (medically significant) with onset 14feb2022, outcome "not recovered", described as "groin pain"; musculoskeletal discomfort (medically significant) with onset 14feb2022, outcome "not recovered", described as "hip discomfort"; rash pruritic (medically significant) with onset 14feb2022, outcome "recovering", described as "itchy rash". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (06jan2021) yes - positive covid-19 test, notes: yes - positive covid-19 test. therapeutic measures were taken as a result of headache, nausea, rash, pyrexia, back pain, arthralgia, groin pain, musculoskeletal discomfort, rash pruritic. patient used ibuprofen and paracetamol for pain/ fever, cold compress for fever /knee pain, e45 for rash some effect. patient has not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20210106; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test; comments: yes - positive covid-19 test
Liste des symptômes
groin pain back pain rash nausea headache arthralgia musculoskeletal discomfort rash pruritic pyrexia 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