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VAERS Report 2095575

Case Report Section

Détails du rapport Vaer

Âge: 16 ans

Genre: Female

Région : Texas

Patient décédé?
Non
Renseignements sur les vaccins

Nom: VACCINE NOT SPECIFIED (NO BRAND NAME)

Type : Unknown vaccine type

Fabricant: UNKNOWN

Lot: 3p3ty


Nom: VACCINE NOT SPECIFIED (NO BRAND NAME)

Type : Unknown vaccine type

Fabricant: UNKNOWN

Lot: u7208aa


Nom: VACCINE NOT SPECIFIED (NO BRAND NAME)

Type : Unknown vaccine type

Fabricant: UNKNOWN

Lot: abxb59aa


Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fk9896


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-07
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

mother stated that patient on 2/7/2022 at 8pm was experiencing a very bad headache, felt very hot to touch, dizziness, body chills and shortness of breath. mother gave the patient her inhaler of albuterol and ibuprofen for pain and fever. mother then took patient to hospital. at the hospital the medical staff checked the patient urine and did an ekg and results were normal for both exams. they administered oral medication to patient of ibuprofen for pain due to the continuous headache she was having. patient was then discharged from hospital on 2/8/2022 at 5am

Données de laboratoire
on 2/07/2022 a urinalysis and ekg was done on patient in the hospital and both exams were normal
Liste des symptômes
chills headache pain dizziness dyspnoea pyrexia skin warm electrocardiogram normal urine analysis normal
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Public
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