Détails du rapport Vaer
Âge: N/A
Genre: Unknown
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
- 2021-12-16
- Date d’apparition
- 16
- Nombre de jours (date d’apparition – date de vaccination)
- 16
- Description de l’événement indésirable
-
difficulty walking; lower limb paraesthesia, resolved after 5 days; lower limb pain, not yet resolved; lower back pain, not yet resolved; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-842966. a 53 year-old patient received bnt162b2 (comirnaty), intramuscular, administration date 16dec2021 (lot number: fk6304) 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: gait inability (hospitalization) with onset 01jan2022, outcome "recovering", described as "difficulty walking"; paraesthesia (hospitalization) with onset 01jan2022, outcome "recovered" (06jan2022), described as "lower limb paraesthesia, resolved after 5 days"; pain in extremity (hospitalization) with onset 01jan2022, outcome "not recovered", described as "lower limb pain, not yet resolved"; back pain (hospitalization) with onset 01jan2022, outcome "not recovered", described as "lower back pain, not yet resolved". no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
paraesthesia back pain pain in extremity gait inability
- 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?
- Oui
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
na