Détails du rapport Vaer
Âge: 13 ans
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fl9994
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-02-20
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
backache; toe cramps; eye pain; numbness in face; headache; application site numbness; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from a regulatory authority. regulatory number: gb-mhra-webcovid-202202240813490130-sqa7s. other case identifier(s): gb-mhra-adr 26645250. a 13 year-old male patient received bnt162b2 (comirnaty), administration date 20feb2022 (lot number: fl9994) at the age of 13 years as dose 2, single for covid-19 immunisation. relevant medical history included: "suspected covid-19", stop date: 23feb2022, notes: unsure when symptoms started. the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1; manufacturer unknown), for covid-19 immunisation. the following information was reported: headache (medically significant) with onset 20feb2022, outcome "recovered" (24feb2022), described as "headache"; vaccination site hypoaesthesia (medically significant) with onset 20feb2022, outcome "recovered" (feb2022), described as "application site numbness"; eye pain (medically significant) with onset 21feb2022, outcome "recovering", described as "eye pain"; hypoaesthesia (medically significant) with onset 21feb2022, outcome "recovering", described as "numbness in face"; muscle spasms (medically significant) with onset 22feb2022, outcome "recovered" (23feb2022), described as "toe cramps"; back pain (medically significant) with onset 23feb2022, outcome "recovered" (feb2022), described as "backache". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. the patient had not been tested positive for covid-19 since having the vaccine. the patient was not enrolled in clinical trial. no follow-up attempts are needed. 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
-
back pain headache muscle spasms eye pain hypoaesthesia sars-cov-2 test vaccination site hypoaesthesia
- 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
-
suspected covid-19 (unsure when symptoms started)