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VAERS Report 2156796

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
2021-09-01
Date d’apparition
15
Nombre de jours (date d’apparition – date de vaccination)
15
Description de l’événement indésirable

depression; nosebleed; this is a spontaneous report received from a contactable reporter (other hcp) from the ra. regulatory number: gb-mhra-webcovid-202202171223327480-5dgs3. other case identifier: gb-mhra-adr 26612779. a female patient received bnt162b2 (comirnaty), administration date 01sep2021 (batch/lot number: unknown) 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: epistaxis (disability) with onset 16sep2021, outcome "recovered with sequelae", described as "nosebleed"; depression (disability) with onset 01oct2021, outcome "not recovered", described as "depression". clinical course: patient has not had symptoms associated with covid-19. patient was not enrolled in clinical trial. patient has not had symptoms associated with covid-19. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200311535 same patient, different events/doses;gb-pfizer inc-202200311534 same patient, different events/doses

Données de laboratoire
na
Liste des symptômes
depression epistaxis
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