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VAERS Report 2157333

Case Report Section

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