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VAERS Report 2156859

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

primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; jaw pain; pain all over; pain in injection site; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency. regulatory number: gb-mhra-webcovid-202202210842162290-xjzme. other case identifier(s): gb-mhra-adr 26627956. a female patient received bnt162b2 (comirnaty), administration date 18feb2022 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "immunodeficiency" (unspecified if ongoing), notes: has an illness or condition, not listed above, which reduces the immune response (e.g, immunodeficiency); "coeliac" (unspecified if ongoing). patient has not had symptoms associated with covid-19. patient is not enrolled in clinical trial. concomitant medication(s) included: mercilon taken for contraception, start date: 06jul2018. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown, non-pfizer), for covid-19 immunisation; covid-19 vaccine (dose 2, manufacturer unknown, non-pfizer), for covid-19 immunisation. the following information was reported: off label use (medically significant), interchange of vaccine products (medically significant) all with onset 18feb2022, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; pain in jaw (medically significant) with onset feb2022, outcome "not recovered", described as "jaw pain"; pain (medically significant) with onset feb2022, outcome "unknown", described as "pain all over"; vaccination site pain (medically significant) with onset feb2022, outcome "unknown", described as "pain in injection site". the patient underwent the following laboratory tests and procedures: covid-19 virus test: no - negative covid-19 test. additional information: initially patient experienced pain all over. 4 days later pain in injection site and severe jaw pain. patient has not tested positive for covid-19 since having the vaccine. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
Liste des symptômes
pain interchange of vaccine products pain in jaw sars-cov-2 test vaccination site pain 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