Détails du rapport Vaer
Âge: N/A
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
- 2022-02-10
- Date d’apparition
- 1
- Nombre de jours (date d’apparition – date de vaccination)
- 1
- Description de l’événement indésirable
-
pain legs; falling down; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-842987. a 74 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 10feb2022 (lot number: fk6304) as dose 2, single for covid-19 immunisation. relevant medical history included: "obesity" (unspecified if ongoing); "incontinence" (unspecified if ongoing); "copd" (unspecified if ongoing); "heart failure" (unspecified if ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (first dose, manufacturer unknown), administration date: 20jan2022, for covid-19 immunisation. the following information was reported: pain in extremity (hospitalization) with onset 11feb2022, outcome "recovering", described as "pain legs"; fall (hospitalization) with onset 11feb2022, outcome "recovering", described as "falling down". therapeutic measures were taken as a result of pain in extremity, fall. actions taken (venous potassium therapy) - impact on quality of life (8/10). no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
na
- Liste des symptômes
-
pain in extremity fall
- 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