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VAERS Report 2156862

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

pain; jaw bone hurt; cannot get out of bed in the morning; rheumatoid arthritis flare up; primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202211103453920-s7z3i. other case identifier(s): gb-mhra-adr 26628689. a 72-year-old female patient received bnt162b2 (comirnaty), administration date 23oct2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. patient has not had symptoms associated with covid-19. patient is not enrolled in clinical trial. 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 23oct2021, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; pain (medically significant), outcome "not recovered", described as "pain"; rheumatoid arthritis (medically significant) with onset 29nov2021, outcome "not recovered", described as "rheumatoid arthritis flare up"; pain in jaw (medically significant), outcome "unknown", described as "jaw bone hurt"; mobility decreased (medically significant), outcome "unknown", described as "cannot get out of bed in the morning". the patient underwent the following laboratory tests and procedures: covid-19 virus test: no - negative covid-19 test. therapeutic measures were taken as a result of pain, rheumatoid arthritis, pain in jaw, mobility decreased. additional information: patient never had an arthritis flare previously, but joints that never used to hurt were in agony (e.g., jaw bone). patient could not get out of bed in the morning until the additional pain relief given kicked in. this had never been this bad prior to the booster vaccine. 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
rheumatoid arthritis pain interchange of vaccine products mobility decreased pain in jaw 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