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VAERS Report 2157341

Case Report Section

Détails du rapport Vaer

Âge: 46 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-27
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

then the 2nd postponed and made on 27nov2021: persistent asthenia; fatigue; tension headache; further anxiety disorder; and dysthymia with slow improvement; this is a spontaneous report received from a contactable reporter(s) (physician) from the agency regulatory authority-web. regulatory number: it-minisal02-843060. a 46-year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 27nov2021 (lot number: unknown) at the age of 46 years as dose 2, single for covid-19 immunisation. relevant medical history included: "meningioma" (unknown if ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (1st dose), administration date: 06nov2021, for covid-19 immunization, reaction(s): "nausea", "headache", "asthenia". the following information was reported: asthenia (hospitalization) with onset 27nov2021, outcome "not recovered", described as "then the 2nd postponed and made on 27nov2021: persistent asthenia"; fatigue (hospitalization) with onset 27nov2021, outcome "not recovered", described as "fatigue"; tension headache (hospitalization) with onset 27nov2021, outcome "not recovered", described as "tension headache"; anxiety (non-serious), outcome "unknown", described as "further anxiety disorder"; persistent depressive disorder (non-serious), outcome "recovering/resolving", described as "and dysthymia with slow improvement". the patient was hospitalized for asthenia, fatigue, tension headache (start date: 12jan2022, discharge date: 14jan2022, hospitalization duration: 2 day(s)). the patient underwent the following laboratory tests and procedures: computerised tomogram head: (unspecified date) unknown results, notes: during hospitalization; echocardiogram: (unspecified date) unknown results, notes: during hospitalization; electrocardiogram: (unspecified date) unknown results, notes: during hospitalization; laboratory test: (unspecified date) unknown results, notes: during hospitalization; neurological examination: (unspecified date) unknown results, notes: during hospitalization; (16dec2021) unknown results; x-ray: (unspecified date) unknown results, notes: during hospitalization. therapeutic measures were taken as a result of tension headache, anxiety, persistent depressive disorder. clinical course - actions taken included visit privacy with neurological examination on 16dec2021, then hospitalized by privacy from 12jan2022 to 14jan2022: ecg, echodoppler heart, brain ct, cervical x-ray, chest x-ray, neurological examination, laboratory samples. sick leave (patient not yet able to work), headache therapy, now entact with further anxiety disorder and dysthymia with slow improvement.) - covid 19 comirnaty (pfizer) *195vial 0. 45ml: booster dose number (2). authority comment: the flu vaccination was not carried out - posted by regulatory authority no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200331858 the same reporter/patient, different dose/events

Données de laboratoire
test name: brain ct; result unstructured data: test result:unknown results; comments: during hospitalization; test name: echodoppler heart; result unstructured data: test result:unknown results; comments: during hospitalization; test name: ecg; result unstructured data: test result:unknown results; comments: during hospitalization; test name: laboratory samples; result unstructured data: test result:unknown results; comments: during hospitalization; test name: neurological examination; result unstructured data: test result:unknown results; comments: during hospitalization; test date: 20211216; test name: neurological examination; result unstructured data: test result:unknown results; test name: cervical x-ray; result unstructured data: test result:unknown results; comments: during hospitalization
Liste des symptômes
persistent depressive disorder anxiety fatigue asthenia laboratory test electrocardiogram tension headache echocardiogram x-ray computerised tomogram head neurological examination
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