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VAERS Report 2156894

Case Report Section

Détails du rapport Vaer

Âge: 14 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: fl99911


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-17
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

diarrhea; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory authority (ra). regulatory number: gb-mhra-webcovid-202202241010557130-ngezr. other case identifier(s): gb-mhra-adr 26648973. a 14 year-old male patient received bnt162b2 (comirnaty), administration date 17feb2022 (lot number: fl99911) at the age of 14 years as dose number unknown, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. it was unsure if patient has had symptoms associated with covid-19. patient was not enrolled in clinical trial. the following information was reported: diarrhoea (medically significant) with onset 17feb2022, outcome "not recovered", described as "diarrhea". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (23feb2022) no - negative covid-19 test. patient did not test positive for covid-19 since having the vaccine. the report was not related 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: 20220223; test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
Liste des symptômes
diarrhoea 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