Détails du rapport Vaer
Âge: 21 ans
Genre: Female
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fk9712
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-12-15
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
heart pounding; this is a spontaneous report received from a contactable consumer from the ra. regulatory number: gb-mhra-webcovid-202202181219517070-jzrsz. other case identifier(s): gb-mhra-adr 26619885. a 21 year-old female patient received bnt162b2 (comirnaty), administration date 15dec2021 (lot number: fk9712) at the age of 21 years 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: palpitations (medically significant) with onset 15dec2021, outcome "not recovered", described as "heart pounding". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative. additional information: the patient has not tested positive for covid-19 since having the vaccine. the patient is not enrolled in clinical trial and has not had symptoms associated with covid-19. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200319469 same patient and reporter; different vaccine dose and event
- Données de laboratoire
-
test name: covid-19 virus test; test result: negative
- Liste des symptômes
-
palpitations 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?
- Non
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
na