Vaer Report Details
Age: NA
Gender: Male
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Type: Coronavirus 2019 vaccine
Manufacturer: PFIZER
Lot: 1f1005a
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-11-23
- Date of Onset
- 5
- Number of days (onset date – vaccination date)
- 5
- Adverse Event Description
-
cervical myelitis; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority web. regulatory number: it-minisal02-843014. a 38 year-old male patient received bnt162b2 (comirnaty), administration date 23nov2021 (lot number: 1f1005a) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1), for covid-19 immunisation; comirnaty (dose 2), for covid-19 immunisation. the following information was reported: myelitis (hospitalization) with onset 28nov2021, outcome "recovered with sequelae", described as "cervical myelitis". the patient underwent the following laboratory tests and procedures: lumbar puncture: unknown results. actions taken (diagnostic workup, including rachycentesis, high-dose steroid therapy intravenous, neuromotor rehabilitation clinical and radiological follow-up). no follow-up attempts are possible. no further information is expected
- Lab Data
-
test name: rachycentesis; result unstructured data: test result:unknown results
- List of symptoms
-
myelitis lumbar puncture
- Patient Died?
- No
- Date Died
- NA
- Birth defect
- false
- Vaccine Administered By:
- Other
- Vaccine Purchased By:
- Unknown
- Patient visit ER?
- No
- Patient Hospitalized?
- Yes
- Stay in hospital
- No
- Days in hospital
- Unspecified
- Permanent disability?
- No
- Allergies:
-
na
- Current Illness
-
na