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: fg6270
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-10-12
- Date d’apparition
- 116
- Nombre de jours (date d’apparition – date de vaccination)
- 116
- Description de l’événement indésirable
-
postural instability due to probable cerebral ischemia; probable cerebral ischemia; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: it-minisal02-842621. a 85 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 12oct2021 15:00 (lot number: fg6270, expiration date: 31mar2022) as dose 3 (booster), 0.3 ml single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (first dose, unknown manufacturer), for covid-19 immunisation; covid-19 vaccine (second dose, unknown manufacturer), for covid-19 immunisation. the following information was reported: balance disorder (hospitalization) with onset 05feb2022, outcome "unknown", described as "postural instability due to probable cerebral ischemia"; cerebral ischaemia (hospitalization) with onset 05feb2022, outcome "unknown", described as "probable cerebral ischemia". no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
balance disorder cerebral ischaemia
- 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