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: fc5089
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-06-25
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
pericarditis; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. a 19-year-old female patient received bnt162b2 (comirnaty), administered in arm left, administration date 25jun2021 (lot number: fc5089, expiration date: 31jan2022) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: pericarditis (medically significant), outcome "unknown", described as "pericarditis". the patient underwent the following laboratory tests and procedures: cardiovascular examination: pericarditis; echocardiogram: pericarditis; electrocardiogram: pericarditis; quality of life decreased: 7/10. therapeutic measures were taken as a result of pericarditis. clinical information: undergoing drug treatment. impact on quality of life (7/10). comirnaty dose 2: 31jul2021, lot number: ff7481, expiration date: 31jul2021, intramuscular. not performed 3rd dose no previous covid. follow-up attempts are completed. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200159252 same reporter and patient, different dose and events
- Données de laboratoire
-
test name: cardiological examination; result unstructured data: test result:pericarditis; test name: echocardiogram; result unstructured data: test result:pericarditis; test name: electrocardiogram; result unstructured data: test result:pericarditis; test name: impact on quality of life; result unstructured data: test result:7/10
- Liste des symptômes
-
pericarditis quality of life decreased electrocardiogram echocardiogram cardiovascular examination
- 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