Détails du rapport Vaer
Région : Outside US
- Patient décédé?
- Renseignements sur les vaccins
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
- Date de réception du rapport
- Date à laquelle le formulaire est complèté
- Date de vaccination
- Date d’apparition
- Nombre de jours (date d’apparition – date de vaccination)
- Description de l’événement indésirable
fever; exsaturation; sub acute myeloid leukemia with no mention of remission; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the agency agency-web. regulatory number: it-minisal02-843371. a 83 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm right, administration date 23sep2021 (lot number: fg3739, expiration date: 31mar2022) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, lot fg4493, exp 30jan2022), administration date: 02sep2021, for covid-19 immunization. the following information was reported: myeloid leukaemia (death, medically significant) with onset 19nov2021, outcome "fatal", described as "sub acute myeloid leukemia with no mention of remission"; pyrexia (hospitalization), outcome "unknown", described as "fever"; oxygen saturation decreased (hospitalization), outcome "unknown", described as "exsaturation". the patient was hospitalized for pyrexia, oxygen saturation decreased (start date: 22nov2021). the patient underwent the following laboratory tests and procedures: blood lactate dehydrogenase: 752, notes: unit: u/l; fibrin d dimer: 12.797 ng/ml; platelet count (130-500): 25, notes: unit: u/l; troponin i: 945 ng/ml. the patient date of death was unknown. the reported cause of death was "unknown cause of death". it was not reported if an autopsy was performed. clinical information: impact on quality of life (10/10) reporter comment: before the second dose of vaccine in good health due to age and health situation. admitted on 22nov2021 as per medical record: symptoms of fever and exsaturation, the patient with suspected uti. no follow-up attempts are possible. no further information is expected.; reported cause(s) of death: unknown cause of death
- Données de laboratoire
test name: ldh; result unstructured data: test result:752; comments: unit: u/l; test name: d-dimer; result unstructured data: test result:12.797 ng/ml; test name: platelet consumption; result unstructured data: test result:25; comments: unit: u/l; test name: troponin i; result unstructured data: test result:945 ng/ml
- Liste des symptômes
pyrexia oxygen saturation decreased troponin i fibrin d dimer platelet count blood lactate dehydrogenase myeloid leukaemia
- Patient décédé?
- Date de décès
- Anomalie congénitale
- Vaccin administré par :
- Vaccin acheté par :
- Visite d’un patient à l’urgence?
- Patient hospitalisé?
- Séjour à l’hôpital
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Maladie actuelle