Détails du rapport Vaer
Âge: 46 ans
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: ep2166
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-03-09
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
headache; decreased vision; numbness on the left side of the body; internal burning in the left thoracic area; skin irritation; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority web. regulatory number: it-minisal02-842937. a 46 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 09mar2021 (lot number: ep2166) at the age of 46 years as dose 2, 0.3 ml, single for covid-19 immunisation. relevant medical history included: "allergies related to seasonal changes" (unspecified if ongoing); "hepatitis b" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single, batch/lot number: ej6790), administration date: 16feb2021, for covid-19 immunization. the following information was reported: headache (disability) with onset 09mar2021, outcome "not recovered", described as "headache"; visual impairment (disability) with onset 09mar2021, outcome "not recovered", described as "decreased vision"; hypoaesthesia (disability) with onset 09mar2021, outcome "not recovered", described as "numbness on the left side of the body"; chest pain (disability) with onset 09mar2021, outcome "not recovered", described as "internal burning in the left thoracic area"; skin irritation (disability) with onset 09mar2021, outcome "not recovered", described as "skin irritation". the patient underwent the following laboratory tests and procedures: magnetic resonance imaging head: not reported; ultrasound scan: not reported. clinical course: patient received the third dose of bnt162b2 (comirnaty) into the right shoulder on 16dec2021 administration date 09mar2021 (lot number: fk6304 ) as dose 3, booster, single for covid-19 immunization. reporter comment: allergies related to seasonal changes. hepatitis b. no follow-up attempts are possible. no further information is expected.; reporter's comments: allergies related to seasonal changes. hepatitis b
- Données de laboratoire
-
test name: magnetic resonance imaging with contrast of the head; result unstructured data: test result:not reported; test name: ultrasound of the supra-aortic trunks; result unstructured data: test result:not reported
- Liste des symptômes
-
headache chest pain hypoaesthesia skin irritation visual impairment ultrasound scan magnetic resonance imaging head
- 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