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VAERS Report 2156982

Case Report Section

Détails du rapport Vaer

Âge: N/A

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
2021-12-18
Date d’apparition
7
Nombre de jours (date d’apparition – date de vaccination)
7
Description de l’événement indésirable

sars-cov-2 infection; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. a 53 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 18dec2021 (batch/lot number: unknown) as dose 3(booster), single for covid-19 immunisation; covid-19 vaccine nrvv ad (chadox1 ncov-19) (covid-19 vaccine astrazeneca), administration date 12jun2021 (batch/lot number: unknown) as dose 2, single and administration date 13mar2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "blood urine" (unspecified if ongoing). date of last menstrual period: 03jul2020. concomitant medication(s) included: nitrofurantoin taken for blood urine, start date: 27jul2021, stop date: 01aug2021. the following information was reported: drug ineffective (medically significant) with onset 25dec2021, outcome "unknown", covid-19 (medically significant) with onset 25dec2021, outcome "recovered" (04jan2022) and all described as "sars-cov-2 infection". date of lmp was 03jul2020. it was unsure if patient had symptoms associated with covid-19, she did not have a covid-19 test. the patient is not pregnant and not currently breastfeeding. the patient had swelling in arm pit on same side as vaccination and in lymph nodes on collarbone but opposite side to the vaccination. the swelling in armpit resolved after about 3 days. the lymph node on collarbone is improved but still slightly swollen, but no longer as painful. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
drug ineffective covid-19
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