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VAERS Report 2156769

Case Report Section

Détails du rapport Vaer

Âge: 36 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
2021-05-30
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

disorder menstrual; irritable stomach; ear noises; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202161219390620-9n1za. other case identifier(s): gb-mhra-adr 26609865. a 36 year-old female patient received bnt162b2 (bnt162b2), administration date 30may2021 (batch/lot number: unknown) at the age of 36 years as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: tinnitus (disability) with onset 30may2021, outcome "not recovered", described as "ear noises"; epigastric discomfort (disability) with onset 01jun2021, outcome "not recovered", described as "irritable stomach"; menstrual disorder (disability) with onset 21jun2021, outcome "recovered" (01jul2021), described as "disorder menstrual". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test; acoustic stimulation tests: no identified problems. no previous ear infection. patient has not had symptoms associated with covid-19. strong noise in patient ears. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. the report was not related to possible inflammation of the heart (myocarditis or pericarditis). the patient received second dose on 15aug2021. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test; test name: hearing test; result unstructured data: test result:no identified problems
Liste des symptômes
tinnitus menstrual disorder sars-cov-2 test acoustic stimulation tests epigastric discomfort
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?
Oui
Allergies:
na
Maladie actuelle
na