Détails du rapport Vaer
Âge: 36 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: fk6304
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-01-13
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
in the evening fainting; alteration of the cycle already from the second administration; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: it-minisal02-842794. a 36 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 13jan2022 15:30 (lot number: fk6304, expiration date: 31jan2022) at the age of 36 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "allergy to nsaids" (unspecified if ongoing), notes: non-steroidal anti-inflammatory drugs; "food allergy" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1), for covid-19 immunization; comirnaty (dose 2), for covid-19 immunization, reaction(s): "irregular menstrual cycle". the following information was reported: syncope (medically significant) with onset 13jan2022, outcome "not recovered", described as "in the evening fainting"; menstruation irregular (non-serious) with onset 13jan2022, outcome "not recovered", described as "alteration of the cycle already from the second administration". reporter comment: allergies to non-steroidal anti-inflammatory drugs and food, cycle problems after second and third dose until now additional information: impact on quality of life (9/10) no follow-up attempts are possible. no further information is expected.; reporter's comments: allergies to non-steroidal anti-inflammatory drugs and food, cycle problems after second and third dose until now; sender's comments: linked report(s) : it-pfizer inc-202200332085 same patient, different vaccine dose/event
- Données de laboratoire
-
na
- Liste des symptômes
-
menstruation irregular syncope
- 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