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VAERS Report 2156965

Case Report Section

Détails du rapport Vaer

Âge: 50 ans

Genre: Female

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
2022-01-31
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

congested chest; headache; runny nose; chesty cough; off label use; interchange of vaccine products; this is a spontaneous report received from contactable reporter(s) (consumer or other non hcp). the reporter is the patient. a 50 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administered in arm left, administration date 31jan2022 19:00 (batch/lot number: unknown) at the age of 50 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "pancreatitis chronic" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: astrazeneca (dose: 2, batch/lot no: unknown. unable to locate or read the details, location of injection: arm left, vaccine administration time: 04:00 pm), administration date: 04jun2021, for covid-19 immunisation; astrazenecca (dose: 1, batch/lot no: unknown. not available/provided to reporter at the time of report completion, location of injection: arm left, vaccine administration time: 02:00 pm), administration date: 15mar2021, for covid-19 immunisation. the following information was reported: off label use (medically significant) with onset 31jan2022 19:00, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 31jan2022 19:00, outcome "unknown", described as "interchange of vaccine products"; pulmonary congestion (medically significant) with onset 02feb2022 12:00, outcome "not recovered", described as "congested chest"; headache (non-serious) with onset 02feb2022 12:00, outcome "not recovered", described as "headache"; rhinorrhoea (non-serious) with onset 02feb2022 12:00, outcome "not recovered", described as "runny nose"; cough (non-serious) with onset 02feb2022 12:00, outcome "not recovered", described as "chesty cough". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (26dec2021) positive, notes: nasal swab. therapeutic measures were not taken as a result of pulmonary congestion, headache, rhinorrhoea, cough. clinical course: the patient was diagnosed with covid 19 prior to vaccination and since the vaccination patient has tested for covid 19. device date:18feb2022. the lot number for bnt162b2 was not provided and will be requested during follow up

Données de laboratoire
test date: 20211226; test name: lateral flow test; test result: positive ; comments: nasal swab
Liste des symptômes
headache rhinorrhoea cough interchange of vaccine products pulmonary congestion sars-cov-2 test off label use
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