Page breadcrumb nav

VAERS Report 2115808

Case Report Section

Détails du rapport Vaer

Âge: 47 ans

Genre: Female

Région : Géorgie

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fc3182


Date de réception du rapport
2022-02-16
Date à laquelle le formulaire est complèté
Date de vaccination
2021-09-03
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

burning; itching; redness bilateral feet; had dose 1 and dose 2 on 03sep2021; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp). the reporter is the patient. a 47 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administered in arm left, administration date 03sep2021 09:30 (lot number: fc3182) at the age of 47 years as dose 1, single and administered in arm left, administration date 03sep2021 09:30 (lot number: fc3183) as dose 2, single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication(s) included: adderall. past drug history included: none. the following information was reported: burning sensation (non-serious) with onset 05sep2021 23:00, outcome "not recovered", described as "burning"; pruritus (non-serious) with onset 05sep2021 23:00, outcome "not recovered", described as "itching"; erythema (non-serious) with onset 05sep2021 23:00, outcome "not recovered", described as "redness bilateral feet"; incorrect dose administered (non-serious) with onset 03sep2021 09:30, outcome "unknown", described as "had dose 1 and dose 2 on 03sep2021". therapeutic measures were not taken as a result of burning sensation, pruritus, erythema. additional information: patient had no known allergies. patient did not had any vaccine in four weeks. patient was not diagnosed with covid-19, prior to vaccination and had not been tested for covid-19, post vaccination. no follow-up attempts are possible. no further information is expected. amendment: this follow-up report is being submitted to amend previous information: deleted event 'overdose' and updated the event from 'inappropriate schedule of vaccine administered' to 'inappropriate dose of vaccine administered'

Données de laboratoire
na
Liste des symptômes
pruritus erythema burning sensation incorrect dose administered
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Pharmacy or store
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