Page breadcrumb nav

VAERS Report 2156949

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: elo739


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-01-24
Date d’apparition
250
Nombre de jours (date d’apparition – date de vaccination)
250
Description de l’événement indésirable

itchy skin; severe rash and random skin eruptions; regulatory authority vaccine monitor this is a solicited report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority for a sponsored program. regulatory number: gb-mhra-ycvm-202101271028554990. other case identifier(s): gb-mhra-adr 26630081. a 83 year-old male patient received bnt162b2 (bnt162b2), administration date 24jan2021 (lot number: elo 739) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "hypertension" (unspecified if ongoing). concomitant medication(s) included: tenoret taken for hypertension, start date: 07jul1980. vaccination history included: bnt162b2 (dose 1), for covid-19 immunisation; bnt162b2 (dose 2), for covid-19 immunisation. unsure if patient has had symptoms associated with covid-19 not had a covid-19 test. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial the following information was reported: pruritus (medically significant) with onset oct2021, outcome "not recovered", described as "itchy skin"; rash (medically significant) with onset oct2021, outcome "unknown", described as "severe rash and random skin eruptions". the events "itchy skin" and "severe rash and random skin eruptions" were evaluated at the physician office visit. clinical course: the patient developed the severe rash and random skin eruptions after his pfizer booster jab last october for which he was seen by his gp. he experienced severe itching notably on the trunk. for the record, he had no reactions after the first 2 jabs (also pfizers). no follow-up attempts are possible. no further information is expected.; sender's comments: based on temporal association, there is reasonable possibility of causal association between the reported events and the suspect drug bnt162b2. the impact of this report on the benefit/risk profile of the pfizer drug is evaluated as part of pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees, and investigators, as appropriate

Données de laboratoire
na
Liste des symptômes
pruritus rash
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