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VAERS Report 2156820

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fl9994


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-07
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

localised pain; painful arm; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from a regulatory authority. regulatory number: gb-mhra-webcovid-202202180931104070-9zlts. other case identifier(s): gb-mhra-adr 26619032. a 12 year-old male patient received bnt162b2 (comirnaty), administration date 07feb2022 (lot number: fl9994) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: bnt162b2 (dose-1), for covid-19 immunisation. the following information was reported: pain in extremity (medically significant) with onset 08feb2022, outcome "not recovered", described as "painful arm"; pain (medically significant), outcome "not recovered", described as "localised pain". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (10feb2022) negative, notes: no - negative covid-19 test. patient has not had symptoms associated with covid-19. the pain was continuing and he was not being able to lie down on that side, or not using that arm to do any activity. the original reaction was normal localised pain, but this continuous pain developed within a week following the vaccine administering. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. the reporter did not relate to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20220210; test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test
Liste des symptômes
pain in extremity pain sars-cov-2 test
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