Détails du rapport Vaer
Âge: 36 ans
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
- 2021-07-15
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
intense headache,frequent the first 15 days,decreased the next 15 days; vitiligo relapse 7 days since the first dose,other factors excluded; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory authority-web. regulatory number: gr-greof-202108956 (ra). a 36-year-old female patient received bnt162b2 (comirnaty), administration date 15jul2021 (lot number: unknown) at the age of 36 years as dose 1, single for covid-19 immunisation. relevant medical history included: "thyroid gland (has autoimmune disease)" (unspecified if ongoing); "patient was a lactating woman" (unspecified if ongoing). the patient's concomitant medications were not reported. the following information was reported: headache (medically significant) with onset 15jul2021, outcome "recovered", described as "intense headache, frequent the first 15 days, decreased the next 15 days"; vitiligo (medically significant) with onset 15jul2021, outcome "unknown", described as "vitiligo relapse 7 days since the first dose, other factors excluded". clinical course: the patient was a lactating woman. no allergy. non-smoker, no drug abuse. the thyroid gland (has autoimmune disease) was not affected. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
headache vitiligo
- 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