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VAERS Report 2115823

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Unknown

Région : Inconnu

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

severe hair loss; skin disorder; itching; this is a spontaneous report received from contactable reporter(s) (consumer or other non hcp) from medical information team. the reporter is the patient. a patient (no qualifiers provided) received bnt162b2 (bnt162b2) (batch/lot number: unknown) as dose number unknown for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: alopecia (non-serious), outcome "unknown", described as "severe hair loss"; skin disorder (non-serious), outcome "unknown", described as "skin disorder"; pruritus (non-serious), outcome "unknown", described as "itching". 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
pruritus alopecia skin disorder
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