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VAERS Report 2157338

Case Report Section

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: 1f1005a


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-23
Date d’apparition
5
Nombre de jours (date d’apparition – date de vaccination)
5
Description de l’événement indésirable

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

Données de laboratoire
test name: rachycentesis; result unstructured data: test result:unknown results
Liste des symptômes
myelitis lumbar puncture
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