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VAERS Report 2115810

Case Report Section

Détails du rapport Vaer

Âge: 44 ans

Genre: Male

Région : District de Colombie

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
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

colitis; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp). the reporter is the patient. a 44 year-old male patient received bnt162b2 (bnt162b2) (batch/lot number: unknown) at the age of 44 years as dose number unknown, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: colitis (non-serious), outcome "unknown", described as "colitis". additional information: report not related to a study or programme. pfizer covid-19 vaccine manufacturer was unspecified. reason for no lot number: of pfizer covid-19 vaccine: caller unwilling to complete the report. expiry date of pfizer covid-19 vaccine not provided. investigation assessment not provided. consumer says he would like to know if colitis could be a symptom from pfizer vaccination, clarified to pfizer covid-19 vaccine. he says he looked it up and it said it was an inflammation of intestines, and he wants to know if it could be related in any way to the vaccine. caller declines to complete a report at this time, and says that he got the vaccine at the (place withheld) and they said it was pfizer. address: caller declines to provide. caller says he is kind of in a panic, and wants to know the medical stuff, he went to the hospital and read and googled it and it said something about it with the vaccine. no further details provided about going to a hospital. no further details captured, reported, or documented at this time. the lot number for the vaccine, [bnt162b2], was not provided and will be requested during follow-up no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
colitis
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