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VAERS Report 2157168

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: acb9330


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-10
Date d’apparition
2
Nombre de jours (date d’apparition – date de vaccination)
2
Description de l’événement indésirable

shortness of breath; chest pain; 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-2022-093041 (regulatory authority). other case identifier(s): ie-hpra-cvarr2022021325795 (regulatory authority). a 18 year-old male patient received bnt162b2 (comirnaty), administration date 10feb2022 (lot number: acb9330) as dose number unknown (booster) single for covid-19 immunisation. the patient had no relevant medical history. there were no concomitant medications. vaccination history included: covid-19 vaccine (dose number unknown , manufacturer unknown), for covid-19 immunisation. the following information was reported: dyspnoea (medically significant) with onset 12feb2022, outcome "not recovered", described as "shortness of breath"; chest pain (medically significant) with onset 12feb2022, outcome "not recovered", described as "chest pain". the events "shortness of breath" and "chest pain" were evaluated at the emergency room visit. therapeutic measures were taken as a result of dyspnoea, chest pain was prescribed antihistamines (further details not provided). at the time of reporting, the patient's symptoms were continuing. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
chest pain dyspnoea
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