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VAERS Report 2157173

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: unknown


Nom: COVID19 (COVID19 (UNKNOWN))

Type : Coronavirus 2019 vaccine

Fabricant: UNKNOWN

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

drug ineffective; i have since had covid and recovered; blood pressure ambulatory: erratic; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the agency regulatory authority-web. other case identifier(s): ie-pfizer inc-202200293955 (same patient,product,different dose/event). a male patient received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 2, single for covid-19 immunisation; covid-19 vaccine (covid-19 vaccine) (batch/lot number: unknown) as dose 1, single. relevant medical history included: "coronary bypass" (unspecified if ongoing). the patient's concomitant medications were not reported. the patient experienced drug ineffective and have since had covid and recovered. the patient also had erratic blood pressure on an unknown date. the patient underwent the following laboratory tests and procedures: blood pressure ambulatory: erratic and the tablets would have to be increased to control it as the patient is a triple bi-pass recipient; x-ray: seems inconclusive'. the patient recovered from covid-19 on an unknown date while the outcome of the rest of the events was unknown. 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) : ie-pfizer inc-202200293955 same patient/product; different dose/event

Données de laboratoire
test name: blood pressure ambulatory; result unstructured data: test result:erratic; test name: x-ray; result unstructured data: test result:seems inconclusive'
Liste des symptômes
blood pressure ambulatory drug ineffective covid-19 x-ray blood pressure abnormal
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