Détails du rapport Vaer
Région : Outside US
- Patient décédé?
- Renseignements sur les vaccins
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
- 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
41 temperature; disease crohns; primary immunisation: astrazeneca; booster: comirnaty; primary immunisation: astrazeneca; booster: comirnaty; remained ill since discharge; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202222203305330-lzbjl (ra). other case identifier(s): gb-mhra-adr 26636256 (ra). a female patient received bnt162b2 (comirnaty), administration date 23dec2021 (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. vaccination history included: covid-19 vaccine astrazeneca (dose 2, single), administration date: 01aug2021, for covid-19 immunisation; covid-19 vaccine astrazeneca (dose 1, single), administration date: 01may2021, for covid-19 immunisation. the following information was reported: off label use (hospitalization, disability, medically significant), interchange of vaccine products (hospitalization, disability, medically significant) all with onset 23dec2021, outcome "unknown" and all described as "primary immunisation: astrazeneca; booster: comirnaty"; crohn's disease (hospitalization, disability, medically significant) with onset 26dec2021, outcome "not recovered", described as "disease crohns"; pyrexia (hospitalization, medically significant) with onset 27dec2021, outcome "unknown", described as "41 temperature"; malaise (hospitalization, disability, medically significant) with onset dec2021, outcome "not recovered", described as "remained ill since discharge". the patient was hospitalized for off label use, interchange of vaccine products, crohn's disease, pyrexia, malaise (start date: 27dec2021, discharge date: 30dec2021, hospitalization duration: 3 day(s)). the patient underwent the following laboratory tests and procedures: body temperature: (26dec2021) 41 degrees; sars-cov-2 test: (unspecified date) no - negative covid-19 test.additional information: hospitalised 4 days after vaccine with 41� temperature. 3 day stay, remained ill since discharge. no previous history of this condition. 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: body temperature; result unstructured data: test result:41 degree; test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
- Liste des symptômes
malaise pyrexia interchange of vaccine products sars-cov-2 test body temperature off label use crohn's disease
- 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