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VAERS Report 2156781

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
2021-12-18
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

shoulder pain; swollen lymph nodes; primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; shoulder started to feel stiff; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202161923395230-k2aze (ra). other case identifier(s): gb-mhra-adr 26611369 (ra). a 41 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 18dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 19mar2020, stop date: 21mar2020. patient is not currently breastfeeding. the patient's 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 (medically significant), interchange of vaccine products (medically significant) all with onset 18dec2021, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; lymphadenopathy (medically significant) with onset 19dec2021, outcome "recovered with sequelae", described as "swollen lymph nodes"; arthralgia (medically significant) with onset 20dec2021, outcome "not recovered", described as "shoulder pain"; musculoskeletal stiffness (medically significant) with onset dec2021, outcome "unknown", described as "shoulder started to feel stiff". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: yes - positive covid-19 test. clinical course: started with pain in the armpit. then lymph nodes were swollen. this took around 3 weeks to start to resolve. then her shoulder started to feel stiff and is still hurting. patient has not tested positive for covid-19 since having the vaccine. patient is 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 name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
Liste des symptômes
arthralgia musculoskeletal stiffness lymphadenopathy 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