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: unknown
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-02-18
- Date d’apparition
- 2
- Nombre de jours (date d’apparition – date de vaccination)
- 2
- Description de l’événement indésirable
-
eye ache; headache; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (uk-mhra). regulatory number: gb-mhra-webcovid-202202221015191050-ndpt6. other case identifier(s): gb-mhra-adr 26632927. a 23 year-old male patient received bnt162b2 (comirnaty), administration date 18feb2022 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 27dec2021 (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: bnt162b2 (dose 2, single; lot number: unknown; route of administration: unspecified), for covid-19 immunization, reaction(s): "drug ineffective"; bnt162b2 (dose 1, single; lot number: unknown; route of administration: unspecified), for covid-19 immunization. the following information was reported: eye pain (medically significant) with onset 20feb2022, outcome "not recovered", described as "eye ache"; headache (medically significant) with onset 20feb2022, outcome "not recovered", described as "headache". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (27dec2021) yes - positive covid-19 test. clinical information: medical history included covid-19 from 27dec2021, which was confirmed via a positive covid-19 virus test performed on the same day. the patient did not have symptoms associated with covid-19 and was not enrolled in clinical trial. on 20feb2022, 2 days after vaccination, the patient experienced eye ache and headache; both the events were reported as serious for being medically significant. the patient had not been tested positive for covid-19 since having the vaccine. the report of the patient was not related to possible inflammation of the heart (myocarditis or pericarditis). the clinical outcome of the events eye ache and headache was not resolved at the time of this report. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200336949 same patient/vaccine product, different events
- Données de laboratoire
-
test date: 20211227; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
- Liste des symptômes
-
headache eye pain 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