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VAERS Report 2156772

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: 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

neck rash/rash all over; primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; neck pain; pain in left lung; 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-202202161416027270-whugl (ra). other case identifier(s): gb-mhra-adr 26610054 (ra). a 36 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 14feb2022 (batch/lot number: unknown) 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 (dose 2, manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. the following information was reported: off label use, interchange of vaccine products all with onset 14feb2022, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; neck pain (medically significant) with onset feb2022, outcome "not recovered", described as "neck pain"; rash (medically significant) with onset 15feb2022, outcome "not recovered", described as "neck rash/rash all over"; pulmonary pain (medically significant) with onset feb2022, outcome "unknown", described as "pain in left lung". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative. clinical courses: the patient was not breastfeeding at the time of this report. the patient not had symptoms associated with covid-19 and was not enrolled in clinical trial. the patient had not been tested positive for covid-19 since having the vaccine. 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; test result: negative
Liste des symptômes
rash neck pain interchange of vaccine products sars-cov-2 test pulmonary pain 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