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VAERS Report 2115859

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

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
2021-11-13
Date d’apparition
17
Nombre de jours (date d’apparition – date de vaccination)
17
Description de l’événement indésirable

disturbance of the organ of balance; hearing loss on the right side with disturbance of the organ of balance; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: at-basgages-2021-077317 (basgages). a 55 year-old female patient received bnt162b2 (comirnaty), administration date 13nov2021 (lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single; lot number: unknown), for covid-19 immunization; comirnaty (dose 2, single; lot number: unknown), for covid-19 immunization. the following information was reported: balance disorder (hospitalization, medically significant) with onset 30nov2021, outcome "not recovered", described as "disturbance of the organ of balance"; sudden hearing loss (hospitalization, medically significant) with onset 30nov2021, outcome "not recovered", described as "hearing loss on the right side with disturbance of the organ of balance". clinical course: no previous illness were reported. 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
balance disorder sudden hearing loss
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
na