Page breadcrumb nav

VAERS Report 2157316

Case Report Section

Détails du rapport Vaer

Âge: 36 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fk6304


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-13
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

in the evening fainting; alteration of the cycle already from the second administration; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: it-minisal02-842794. a 36 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 13jan2022 15:30 (lot number: fk6304, expiration date: 31jan2022) at the age of 36 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "allergy to nsaids" (unspecified if ongoing), notes: non-steroidal anti-inflammatory drugs; "food allergy" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1), for covid-19 immunization; comirnaty (dose 2), for covid-19 immunization, reaction(s): "irregular menstrual cycle". the following information was reported: syncope (medically significant) with onset 13jan2022, outcome "not recovered", described as "in the evening fainting"; menstruation irregular (non-serious) with onset 13jan2022, outcome "not recovered", described as "alteration of the cycle already from the second administration". reporter comment: allergies to non-steroidal anti-inflammatory drugs and food, cycle problems after second and third dose until now additional information: impact on quality of life (9/10) no follow-up attempts are possible. no further information is expected.; reporter's comments: allergies to non-steroidal anti-inflammatory drugs and food, cycle problems after second and third dose until now; sender's comments: linked report(s) : it-pfizer inc-202200332085 same patient, different vaccine dose/event

Données de laboratoire
na
Liste des symptômes
menstruation irregular syncope
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