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VAERS Report 2115811

Case Report Section

Détails du rapport Vaer

Âge: 32 ans

Genre: Female

Région : Washington

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
2021-08-16
Date d’apparition
7
Nombre de jours (date d’apparition – date de vaccination)
7
Description de l’événement indésirable

swollen armpit; hair loss; this is a spontaneous report received from a contactable reporter(s) (other hcp). the reporter is the patient. a 32 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administered in arm left, administration date 16aug2021 17:00 (batch/lot number: unknown) at the age of 32 years as dose number unknown, single for covid-19 immunisation. relevant medical history included: "known_allergies: penicillin" (unspecified if ongoing), notes: known_allergies: penicillin. concomitant medication(s) included: tdap taken for immunisation, administration date 09aug2021; heplisav b taken for immunisation, administration date 09aug2021. the following information was reported: swelling (non-serious) with onset 23aug2021, outcome "not recovered", described as "swollen armpit"; alopecia (non-serious) with onset 23aug2021, outcome "not recovered", described as "hair loss". therapeutic measures were not taken as a result of swelling, alopecia. additional information: prior to vaccination, the patient was not diagnosed with covid-19. since the vaccination, the patient has not been tested for covid-19. no other medications the patient received within 2 weeks of vaccination. follow-up (14oct2021): this follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. 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
alopecia swelling
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