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VAERS Report 2156869

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: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-18
Date d’apparition
2
Nombre de jours (date d’apparition – date de vaccination)
2
Description de l’événement indésirable

eye ache; headache; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (uk-mhra). regulatory number: gb-mhra-webcovid-202202221015191050-ndpt6. other case identifier(s): gb-mhra-adr 26632927. a 23 year-old male patient received bnt162b2 (comirnaty), administration date 18feb2022 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 27dec2021 (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: bnt162b2 (dose 2, single; lot number: unknown; route of administration: unspecified), for covid-19 immunization, reaction(s): "drug ineffective"; bnt162b2 (dose 1, single; lot number: unknown; route of administration: unspecified), for covid-19 immunization. the following information was reported: eye pain (medically significant) with onset 20feb2022, outcome "not recovered", described as "eye ache"; headache (medically significant) with onset 20feb2022, outcome "not recovered", described as "headache". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (27dec2021) yes - positive covid-19 test. clinical information: medical history included covid-19 from 27dec2021, which was confirmed via a positive covid-19 virus test performed on the same day. the patient did not have symptoms associated with covid-19 and was not enrolled in clinical trial. on 20feb2022, 2 days after vaccination, the patient experienced eye ache and headache; both the events were reported as serious for being medically significant. the patient had not been tested positive for covid-19 since having the vaccine. the report of the patient was not related to possible inflammation of the heart (myocarditis or pericarditis). the clinical outcome of the events eye ache and headache was not resolved at the time of this report. 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-202200336949 same patient/vaccine product, different events

Données de laboratoire
test date: 20211227; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
Liste des symptômes
headache eye 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