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VAERS Report 2156993

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

oral lichen planus; lichen planus vagina and skin; symptoms worse; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. a 58 year-old female patient received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "mastectomy" (unspecified if ongoing), notes: double mastectomy; "breast cancer" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: bnt162b2 (dose 1, single, lot number:ek4244), administration date: 05feb2021, for covid-19 immunisation, reaction(s): "oral lichen planus"; comirnaty (dose 2, single), for covid-19 immunisation, reaction(s): "lichen plus vagina and skin". the following information was reported: oral lichen planus (disability, medically significant), outcome "unknown", described as "oral lichen planus"; lichen planus (disability, medically significant), outcome "unknown", described as "lichen plus vagina and skin". the event "oral lichen planus" was evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: biopsy: unknown results; sars-cov-2 test: negative. clinical course: it was reported that, first pfizer vaccine triggered oral lichen planus diagnosed in dental hospital by a consultant, where second dose of pfizer vaccine triggered lichen planus vagina and skin and reported as booster made symptoms worse. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200313688 same patient/vaccine product, different dose/events;gb-pfizer inc-202200289957 same patient/vaccine product, different dose/events

Données de laboratoire
test name: biopsy and diagnosis; result unstructured data: test result:unknown results; test name: covid-19 virus test; test result: negative
Liste des symptômes
condition aggravated biopsy lichen planus sars-cov-2 test oral lichen planus
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?
Oui
Allergies:
na
Maladie actuelle
na