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VAERS Report 2115812

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Inconnu

Patient décédé?
Renseignements sur les vaccins


Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown

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

fever; very sore arm; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp). the reporter is the parent. an adolescent male patient received bnt162b2 (bnt162b2) (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: pyrexia (non-serious), outcome "unknown", described as "fever"; pain in extremity (non-serious), outcome "unknown", described as "very sore arm". relevant laboratory tests and procedures are available in the appropriate section. additional information: on 10sep2021 at 10:37 am est, about a possible side effect with their young child aged between 5-11 years. child was in the clinical study for the covid vaccine at (name withheld) and got a fever and rash. pfizer employee later clarifies that it was reported the child had got a fever and very sore arm, no rash. pfizer employee was contacted through (withheld). stated reporter does not provide her contact number or address in the message and he has not let her know any response or that he was providing this to pfizer. states the message just asks how everything was going with him and informed him that she believes her child, (name), got the vaccine because he developed a fever and a very sore arm the next day. he was to get the second dose on 22sep2021. no further details provided. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: fever; result unstructured data: test result:unknown results
Liste des symptômes
pain in extremity pyrexia body temperature
Patient décédé?
Date de décès
Anomalie congénitale
Vaccin administré par :
Vaccin acheté par :
Visite d’un patient à l’urgence?
Patient hospitalisé?
Séjour à l’hôpital
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Maladie actuelle