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VAERS Report 2156999

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: fl9994


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-22
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

hyperpigmentation; itchy; follicular type rash on both upper arms/ lesions occurred in follicular; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory agency (ra). a 29 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administered in arm left, administration date 22jan2022 (lot number: fl9994) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 18dec2021 (unspecified if ongoing), notes: unsure when symptoms stopped. there were no concomitant medications. vaccination history included: bnt162b2 (dose 1, lot number: ee8493), administration date: 11jan2021, for covid-19 immunisation, reaction(s): "itchy", "rash papular/follicular type rash", "covid-19 virus positive test/suspected covid-19", "covid-19 virus positive test/suspected covid-19"; bnt162b2 (dose 2, lot number: er7934), administration date: 13apr2021, for covid-19 immunisation, reaction(s): "itchy", "rash papular/follicular type rash", "patient received vaccine dose 1 on 11jan2021, dose 2 on 13apr2021", "covid-19 virus positive test/suspected covid-19", "covid-19 virus positive test/suspected covid-19". the following information was reported: skin hyperpigmentation (medically significant), outcome "not recovered", described as "hyperpigmentation"; pruritus (medically significant), outcome "not recovered", described as "itchy"; rash follicular (medically significant), outcome "unknown", described as "follicular type rash on both upper arms/ lesions occurred in follicular". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (22dec2021) yes - positive covid-19 test. works as a healthcare worker. patient was not pregnant. patient was not currently breastfeeding. patient had follicular type rash on both upper arms which she reports occured approximately 1 week after each covid vaccination on both arms. reported it being extremely itchy and occurring despite changing arms for administration. record stated vaccination only given in left arm. no further itch but has hyperpigmentation from where lesions occurred in follicular/ papular type appearance. also reports sister had same response. patient was not enrolled in clinical trial. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200315021 same patient, same product, different dose and different event (loe).;gb-pfizer inc-202200315019 same patient, same product, different dose and different event.;gb-pfizer inc-202200290070 same patient, same product, different dose and different event

Données de laboratoire
test date: 20211222; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
Liste des symptômes
pruritus rash follicular skin hyperpigmentation sars-cov-2 test
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