Page breadcrumb nav

VAERS Report 2157159

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fh0114


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-10
Date d’apparition
23
Nombre de jours (date d’apparition – date de vaccination)
23
Description de l’événement indésirable

pericarditis as diagnosed by doctors; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: ie-hpra-2022-092791. other case identifier(s): ie-hpra-cvarr2022020825758. a 46 year-old male patient received bnt162b2 (comirnaty), administration date 10nov2021 (lot number: fh0114) as dose number unknown (booster), single for covid-19 immunisation. relevant medical history included: "blood cholesterol abnormal" (unspecified if ongoing); "gout" (unspecified if ongoing). concomitant medication(s) included: allopurinol taken for gout; atorvastatin taken for blood cholesterol abnormal. the following information was reported: pericarditis (hospitalization, medically significant, life threatening) with onset 03dec2021, outcome "not recovered", described as "pericarditis as diagnosed by doctors". the event "pericarditis as diagnosed by doctors" was evaluated at the emergency room visit. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
pericarditis
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na