Détails du rapport Vaer
Âge: N/A
Genre: Female
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fm3092
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-02-19
- Date d’apparition
- 1
- Nombre de jours (date d’apparition – date de vaccination)
- 1
- Description de l’événement indésirable
-
headache; vomited; this is a spontaneous report received from a contactable reporter (consume) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202231022169020-cq4wd. other case identifier(s): gb-mhra-adr 26639160. a 12 year-old female patient received bnt162b2 (comirnaty), administration date 19feb2022 (lot number: fm3092) as dose 1, single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 16nov2021 (unspecified if ongoing). patient did not have symptoms associated with covid-19. patient was not enrolled in clinical trial. the patient's concomitant medications were not reported. the following information was reported: headache (medically significant) with onset 20feb2022, outcome "recovered" (20feb2022), described as "headache"; vomiting (medically significant) with onset 20feb2022, outcome "recovered" (20feb2022), described as "vomited". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (16nov2021) yes - positive covid-19 test. patient did not test positive for covid-19 since having the vaccine. the report was not related to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
test date: 20211116; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
- Liste des symptômes
-
vomiting headache 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