Vaer Report Details
Age: NA
Gender: Female
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Type: Coronavirus 2019 vaccine
Manufacturer: PFIZER
Lot: fc1131
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-05-31
- Date of Onset
- 1
- Number of days (onset date – vaccination date)
- 1
- Adverse Event Description
-
asthma crisis the day after vaccination.; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority web. regulatory number: it-minisal02-843092. a 67-year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in deltoid left, administration date 31may2021 (lot number: fc1131) as dose 1, single for covid-19 immunisation. relevant medical history included: "asthma" (unspecified if ongoing), notes: at the time in poor control. the patient's concomitant medications were not reported. the following information was reported: asthmatic crisis (hospitalization, medically significant) with onset 01jun2021, outcome "recovered" (2021), described as "asthma crisis the day after vaccination.". the patient was hospitalized for asthmatic crisis (start date: jun2021). the event "asthma crisis the day after vaccination." was evaluated at the emergency room visit. the patient underwent the following laboratory tests and procedures: allergy test: negative; blood gases: unknown results; electrocardiogram: unknown results. therapeutic measures were taken as a result of asthmatic crisis. reporter comment: on 15feb2022 the reporter reports: "the day after the 1st dose of pfizer on 31may2021 acute asthmatic crisis with access to the emergency room. privacy hospital. this patient is probably suffering from intrinsic asthma (negative allergometric tests), at the time under poor pharmacological control. currently on good stability with foster inhaler 2 doses per day. performed 2nd dose of pfizer on 10feb2022. no follow-up attempts are possible. no further information is expected.; reporter's comments: on 15feb2022 the reporter reports: "the day after the 1st dose of pfizer on 31may2021 acute asthmatic crisis with access to the emergency room. privacy hospital. this patient is probably suffering from intrinsic asthma (negative allergometric tests), at the time under poor pharmacological control. currently on good stability with foster inhaler 2 doses per day. performed 2nd dose of pfizer on 10feb2022. from telephone contact made on 14feb2022: the patient the next day
- Lab Data
-
test name: allergometric tests; test result: negative ; test name: arterial blood gases; result unstructured data: test result:unknown results; test name: ecg; result unstructured data: test result:unknown results
- List of symptoms
-
electrocardiogram blood gases allergy test asthmatic crisis
- 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