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VAERS Report 2156840

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

Patient décédé?
Renseignements sur les vaccins


Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown

Date de réception du rapport
Date à laquelle le formulaire est complèté
Date de vaccination
Date d’apparition
Nombre de jours (date d’apparition – date de vaccination)
Description de l’événement indésirable

off label use; interchange of vaccine product; vertigo; chills; fatigue; headache; pain in arm; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202191122538420-ppoxc. other case identifier: gb-mhra-adr 26625653. a 52-year-old female patient (not pregnant) received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 24dec2021, stop date: 10jan2022; "hormone replacement therapy" (unspecified if ongoing). concomitant medication(s) included: oestrogel taken for hormone replacement therapy, start date: 10sep2021. vaccination history included: covid-19 vaccine astrazeneca (dose 1, single), administration date: 19mar2021, for covid-19 immunisation; covid-19 vaccine astrazeneca (dose 2, single), administration date: 07jun2021, for covid-19 immunisation. the following information was reported: off label use (medically significant), outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant), outcome "unknown", described as "interchange of vaccine product"; headache (medically significant) with onset 16feb2022, outcome "not recovered", described as "headache"; pain in extremity (medically significant) with onset 16feb2022, outcome "not recovered", described as "pain in arm"; chills (medically significant) with onset 17feb2022, outcome "recovered" (18feb2022), described as "chills"; fatigue (medically significant) with onset 17feb2022, outcome "recovering", described as "fatigue"; vertigo (medically significant) with onset 19feb2022, outcome "not recovered", described as "vertigo". the patient underwent the following laboratory tests and procedures: covid-19 virus test: (26dec2021) positive. additional information: patient is not currently breastfeeding. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20211226; test name: covid-19 virus test; test result: positive
Liste des symptômes
chills fatigue headache pain in extremity vertigo interchange of vaccine products sars-cov-2 test off label use
Patient décédé?
Date de décès
Anomalie congénitale
Vaccin administré par :
Vaccin acheté par :
Visite d’un patient à l’urgence?
Patient hospitalisé?
Séjour à l’hôpital
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Maladie actuelle