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VAERS Report 2115809

Case Report Section

Détails du rapport Vaer

Âge: 24 ans

Genre: Female

Région : Caroline du Nord

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-02-16
Date à laquelle le formulaire est complèté
Date de vaccination
2021-07-18
Date d’apparition
14
Nombre de jours (date d’apparition – date de vaccination)
14
Description de l’événement indésirable

periods don't flow anymore, it literally stopped/doesn't come and flow like it should; spots black blood; menstrual irregularities; this is a spontaneous report received from a contactable reporter(s) (other hcp) from medical information team. the reporter is the parent. a 24 year-old female patient received bnt162b2 (bnt162b2), administration date 18jul2021 (batch/lot number: unknown) at the age of 24 years as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: bnt162b2 (dose 1), when the patient was 24 years old, for covid-19 immunization. the following information was reported: amenorrhoea (non-serious) with onset aug2021, outcome "not recovered", described as "periods don't flow anymore, it literally stopped/doesn't come and flow like it should"; intermenstrual bleeding (non-serious) with onset aug2021, outcome "unknown", described as "spots black blood"; menstruation irregular (non-serious) with onset aug2021, outcome "unknown", described as "menstrual irregularities". follow-up (09sep2021): this is a follow-up spontaneous report from a contactable nurse. this nurse reported for a patient (reporter's daughter).it included: patients details, reaction(s)/event(s) details,drug(s) information. additional information:history of all previous immunization with the pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was only had her childhood vaccine.the patient did not visited physician office but she has an appointment next week with a gynaecologist. the patient did not received prior vaccinations (within 4 weeks).the patient does not had ae(s) following prior vaccinations. the lot number for the vaccine, [bnt162b2] was not provided and will be requested during follow-up. follow-up (13oct2021): this follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. follow-up attempts completed. no further information is expected

Données de laboratoire
na
Liste des symptômes
menstruation irregular amenorrhoea intermenstrual bleeding
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Unknown
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