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VAERS Report 2156902

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
2022-02-12
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

eczema herpeticum; rapid worsening eczema and weeping sores; rapid worsening eczema and weeping sores; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority web. regulatory number: gb-mhra-webcovid-202202241730214110-75s78. a 13 year-old male patient received bnt162b2 (comirnaty), administration date 12feb2022 (lot number: fl9994) as dose 2, single for covid-19 immunisation. relevant medical history included: "infected skin ulcer" (unspecified if ongoing); "eczema" (unspecified if ongoing). 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: eczema herpeticum (medically significant) with onset 16feb2022, outcome "not recovered", described as "eczema herpeticum"; eczema (medically significant), skin lesion (medically significant) all with onset feb2022, outcome "unknown" and all described as "rapid worsening eczema and weeping sores". clinical course: it was reported that the patient had eczema anyway, had rapid worsening and weeping sores within days of the vaccine. the patient did not have symptoms associated with covid-19 and did not have a covid-19 test. the patient was not enrolled in clinical trial. the patient had not been tested positive for covid-19 since having the vaccine. the report was not related to possible inflammation of the heart (myocarditis or pericarditis), blood clots or low platelet counts. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
eczema herpeticum eczema skin lesion
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