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: unknown
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
oral lichen planus; lichen planus vagina and skin; symptoms worse; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. a 58 year-old female patient received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "mastectomy" (unspecified if ongoing), notes: double mastectomy; "breast cancer" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: bnt162b2 (dose 1, single, lot number:ek4244), administration date: 05feb2021, for covid-19 immunisation, reaction(s): "oral lichen planus"; comirnaty (dose 2, single), for covid-19 immunisation, reaction(s): "lichen plus vagina and skin". the following information was reported: oral lichen planus (disability, medically significant), outcome "unknown", described as "oral lichen planus"; lichen planus (disability, medically significant), outcome "unknown", described as "lichen plus vagina and skin". the event "oral lichen planus" was evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: biopsy: unknown results; sars-cov-2 test: negative. clinical course: it was reported that, first pfizer vaccine triggered oral lichen planus diagnosed in dental hospital by a consultant, where second dose of pfizer vaccine triggered lichen planus vagina and skin and reported as booster made symptoms worse. 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-202200313688 same patient/vaccine product, different dose/events;gb-pfizer inc-202200289957 same patient/vaccine product, different dose/events
- Données de laboratoire
-
test name: biopsy and diagnosis; result unstructured data: test result:unknown results; test name: covid-19 virus test; test result: negative
- Liste des symptômes
-
condition aggravated biopsy lichen planus sars-cov-2 test oral lichen planus
- 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?
- Oui
- Allergies:
-
na
- Maladie actuelle
-
na