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VAERS Report 2156822

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: fn3543


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

insomnia; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202181005523210-6hplq (ra). other case identifier(s): gb-mhra-adr 26619624 (ra). a male patient received bnt162b2 (comirnaty), administration date 18dec2021 (lot number: fn3543) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the patient has not had symptoms associated with covid-19, has not tested positive for covid-19 since having the vaccine and is not enrolled in clinical trial. vaccination history included: covid-19 vaccine astrazeneca (dose 1), administration date: 29mar2021, for covid-19 vaccination; covid-19 vaccine astrazeneca (dose 2), administration date: 16jun2021, for covid-19 vaccination. the following information was reported: insomnia (hospitalization, medically significant) with onset 18dec2021, outcome "recovering", described as "insomnia"; however, it was also reported that the event resolved on 26jan2022. the patient underwent the following laboratory tests and procedures: covid-19 virus test: negative, notes: no - negative covid-19 test. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: covid-19 virus test; result unstructured data: test result:negative; comments: no - negative covid-19 test
Liste des symptômes
insomnia 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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na