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VAERS Report 2115852

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: 1g044a


Date de réception du rapport
2022-02-16
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-19
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

blood pressure derailment up to 230 systolic with known hypertension; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority web. regulatory number: at-basgages-2021-076942. a 43 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 19nov2021 (lot number: 1g044a) as dose 1, single for covid-19 immunisation. relevant medical history included: "hypertension arterial" (ongoing). the patient's concomitant medications were not reported. the following information was reported: hypertensive crisis (hospitalization) with onset 20nov2021, outcome "not recovered", described as "blood pressure derailment up to 230 systolic with known hypertension". the patient underwent the following laboratory tests and procedures: blood pressure systolic: up to 230. clinical course: relatedness of drug to reaction(s)/event(s): source of assessment: primary source, result of assess-ment: possible no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: blood pressure derailment up to 230 systolic; result unstructured data: test result:up to 230
Liste des symptômes
hypertensive crisis blood pressure systolic
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
hypertension arterial