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VAERS Report 2157371

Case Report Section

Détails du rapport Vaer

Âge: 49 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: fk6304


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-17
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

bloating nos; persistent asthenia; disorder equilibrium; dizziness; back ache; heavy menstrual bleeding / abundant menstrual flow; breast swelling; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the agency regulatory authority-web. regulatory number: it-minisal02-843549. a 49 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 17dec2021 (lot number: fk6304) at the age of 49 years as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: abdominal distension (medically significant) with onset 17dec2021, outcome "not recovered", described as "bloating nos"; asthenia (medically significant) with onset 17dec2021, outcome "not recovered", described as "persistent asthenia"; balance disorder (medically significant) with onset 17dec2021, outcome "not recovered", described as "disorder equilibrium"; dizziness (medically significant) with onset 17dec2021, outcome "not recovered", described as "dizziness"; back pain (medically significant) with onset 17dec2021, outcome "not recovered", described as "back ache"; heavy menstrual bleeding (medically significant) with onset 17dec2021, outcome "not recovered", described as "heavy menstrual bleeding / abundant menstrual flow"; breast swelling (non-serious) with onset 17dec2021, outcome "not recovered", described as "breast swelling". no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200307311 same patient / drug, different dose / events;it-pfizer inc-202200307311 same patient / drug, different dose / events

Données de laboratoire
na
Liste des symptômes
heavy menstrual bleeding back pain asthenia dizziness balance disorder abdominal distension breast swelling
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