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: fn3543
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-12-18
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
insomnia; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202181005523210-6hplq (ra). other case identifier(s): gb-mhra-adr 26619624 (ra). a male patient received bnt162b2 (comirnaty), administration date 18dec2021 (lot number: fn3543) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the patient has not had symptoms associated with covid-19, has not tested positive for covid-19 since having the vaccine and is not enrolled in clinical trial. vaccination history included: covid-19 vaccine astrazeneca (dose 1), administration date: 29mar2021, for covid-19 vaccination; covid-19 vaccine astrazeneca (dose 2), administration date: 16jun2021, for covid-19 vaccination. the following information was reported: insomnia (hospitalization, medically significant) with onset 18dec2021, outcome "recovering", described as "insomnia"; however, it was also reported that the event resolved on 26jan2022. the patient underwent the following laboratory tests and procedures: covid-19 virus test: negative, notes: no - negative covid-19 test. no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
test name: covid-19 virus test; result unstructured data: test result:negative; comments: no - negative covid-19 test
- Liste des symptômes
-
insomnia sars-cov-2 test
- 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