Détails du rapport Vaer
Âge: 30 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
- 2021-12-10
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
period was 2/3 weeks late; huge blood clots; swollen lumps in my breasts; swollen lumps in my breasts; extreanlt tired; first dose on 04sep2021/second dose on 10dec2021; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency. regulatory number: gb-mhra-webcovid-202202161424158790-cedco (ra). other case identifier: gb-mhra-adr 26610066 (ra). a 30-year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 10dec2021 (batch/lot number: unknown) at the age of 30 years as dose 2, single for covid-19 immunization. relevant medical history included: "suspected covid-19" (unspecified if ongoing), notes: unsure when symptoms started, unsure when symptoms stopped. the patient's last menstrual period (lmp) date was on 09feb2022. the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single), administration date: 04sep2021 for covid-19 immunization, reactions: "late period". patient was not breastfeeding at the time of period. patient was not enrolled in a clinical trail. the following information was reported: menstruation delayed (medically significant), outcome "unknown", described as "period was 2/3 weeks late"; thrombosis (medically significant), outcome "unknown", described as "huge blood clots"; breast swelling (medically significant), breast mass (medically significant), outcome "unknown" and all described as "swollen lumps in my breasts"; fatigue (medically significant), outcome "unknown", described as "extreanlt tired" and inappropriate schedule of product administration (non-serious) with onset 10dec2021, outcome "unknown", described as "first dose on 04sep2021/second dose on 10dec2021". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative, notes: no - negative covid-19 test; positive. this report doesn't relate to possible inflammation of the heart (myocarditis or pericarditis). 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 ; comments: no - negative covid-19 test; test name: covid-19 virus test; test result: positive
- Liste des symptômes
-
fatigue thrombosis inappropriate schedule of product administration sars-cov-2 test breast mass breast swelling menstruation delayed
- 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