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: fn4071
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-02-04
- Date d’apparition
- 1
- Nombre de jours (date d’apparition – date de vaccination)
- 1
- Description de l’événement indésirable
-
blackout spell; tremor; fall; vagal reaction; this is a spontaneous report received from a contactable reporter(s) (physician) from the agency regulatory authority-web. regulatory number: it-minisal02-842962. a 7 year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 04feb2022 (lot number: fn4071) as dose 1, 0.2 ml single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: loss of consciousness (medically significant) with onset 05feb2022, outcome "recovered" (05feb2022), described as "blackout spell"; tremor (non-serious) with onset 05feb2022, outcome "recovered" (05feb2022), described as "tremor"; fall (non-serious) with onset 05feb2022, outcome "recovered" (05feb2022), described as "fall"; presyncope (non-serious) with onset 05feb2022, outcome "recovered" (05feb2022), described as "vagal reaction". therapeutic measures were taken as a result of loss of consciousness, tremor, fall, presyncope. additional information: the events lasted a few seconds. prompt recovery after administration of glucose and water. no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
tremor loss of consciousness fall presyncope
- 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