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: 1f1012a
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-11-22
- Date d’apparition
- 9
- Nombre de jours (date d’apparition – date de vaccination)
- 9
- Description de l’événement indésirable
-
pfizer covid vaccine pericarditis; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-842700. a 42 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 22nov2021 (lot number: 1f1012a) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (dose 2, manufacturer unknown), for covid-19 immunisation. the following information was reported: pericarditis (medically significant) with onset 01dec2021, outcome "recovered with sequelae", described as "pfizer covid vaccine pericarditis". the patient underwent the following laboratory tests and procedures: echocardiogram: unknown; impaired quality of life: 8/10. therapeutic measures were taken as a result of pericarditis. changed gravity: pericarditis present in ime list. actions taken (anti-inflammatory therapy with colchicine after echocardium) - impact on quality of life (8/10). no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
test name: echocardium; result unstructured data: test result:unknown; test name: impaired quality of life; result unstructured data: test result:8/10
- Liste des symptômes
-
impaired quality of life pericarditis echocardiogram
- 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