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VAERS Report 2157360

Case Report Section

Détails du rapport Vaer

Âge: 43 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
2021-12-22
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

hyperpyrexia; flushing; bullae; ache; tachycardia; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-843284. a 43 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 22dec2021 (batch/lot number: unknown) at the age of 43 years as dose number unknown, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: hyperpyrexia (medically significant) with onset 22dec2021, outcome "not recovered", described as "hyperpyrexia"; flushing (non-serious) with onset 22dec2021, outcome "not recovered", described as "flushing"; blister (non-serious) with onset 22dec2021, outcome "not recovered", described as "bullae"; pain (non-serious) with onset 22dec2021, outcome "not recovered", described as "ache"; tachycardia (non-serious) with onset 22dec2021, outcome "not recovered", described as "tachycardia". sender's comments: the reporter has already been asked for more information, explanation. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
na
Liste des symptômes
pain flushing blister tachycardia hyperpyrexia
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?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na