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VAERS Report 2156891

Case Report Section

Détails du rapport Vaer

Âge: 13 ans

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
2022-02-20
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

backache; toe cramps; eye pain; numbness in face; headache; application site numbness; 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-202202240813490130-sqa7s. other case identifier(s): gb-mhra-adr 26645250. a 13 year-old male patient received bnt162b2 (comirnaty), administration date 20feb2022 (lot number: fl9994) at the age of 13 years as dose 2, single for covid-19 immunisation. relevant medical history included: "suspected covid-19", stop date: 23feb2022, notes: unsure when symptoms started. the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1; manufacturer unknown), for covid-19 immunisation. the following information was reported: headache (medically significant) with onset 20feb2022, outcome "recovered" (24feb2022), described as "headache"; vaccination site hypoaesthesia (medically significant) with onset 20feb2022, outcome "recovered" (feb2022), described as "application site numbness"; eye pain (medically significant) with onset 21feb2022, outcome "recovering", described as "eye pain"; hypoaesthesia (medically significant) with onset 21feb2022, outcome "recovering", described as "numbness in face"; muscle spasms (medically significant) with onset 22feb2022, outcome "recovered" (23feb2022), described as "toe cramps"; back pain (medically significant) with onset 23feb2022, outcome "recovered" (feb2022), described as "backache". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. the patient had not been tested positive for covid-19 since having the vaccine. the patient was not enrolled in clinical trial. no follow-up attempts are needed. no further information is expected

Données de laboratoire
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
Liste des symptômes
back pain headache muscle spasms eye pain hypoaesthesia sars-cov-2 test vaccination site hypoaesthesia
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
suspected covid-19 (unsure when symptoms started)