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: unknown
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-12-15
- Date d’apparition
- 4
- Nombre de jours (date d’apparition – date de vaccination)
- 4
- Description de l’événement indésirable
-
precordial pain; myocarditis; troponin up to 4500; this is a spontaneous report received from a contactable reporter(s) (physician) from the ra-web. regulatory number: gr-greof-202200509. a 23 year-old male patient received bnt162b2 (comirnaty), administration date 15dec2021 (lot number: unknown) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. the following information was reported: myocarditis (life threatening) with onset 19dec2021, outcome "recovering", described as "myocarditis"; troponin increased (life threatening) with onset 19dec2021, outcome "recovering", described as "troponin up to 4500"; chest pain (medically significant), outcome "unknown", described as "precordial pain". the patient underwent the following laboratory tests and procedures: troponin: (19dec2021) 4500, notes: 4500; (unspecified date) 62.4, notes: on discharge. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Données de laboratoire
-
test date: 20211219; test name: troponin; result unstructured data: test result:4500; comments: 4500; test name: troponin; result unstructured data: test result:62.4; comments: on discharge
- Liste des symptômes
-
chest pain myocarditis troponin increased troponin
- 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