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VAERS Report 2157384

Case Report Section

Détails du rapport Vaer

Âge: N/A

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
2021-06-13
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

thinning of the left optic nerve; ischemic neuritis; headache; head tightness; numbness of the right side of the body; temporary vision loss / blurred vision while the patient was watching tv, she could no longer distinguish colours and shapes.; turbidity right side loss salivation/salivation leak; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-844041. a 52 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 13jun2021 (lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "monocular vision" (unspecified if ongoing), notes: monocular vision since birth for atrophy of the optic nerve on the right side; "allergopathy" (unspecified if ongoing). family history included: "familiar hypercholesterolemia." (unspecified if ongoing). the patient's concomitant medications were not reported. the following information was reported: headache (medically significant) with onset 14jun2021, outcome "unknown", described as "headache"; tension headache (medically significant) with onset 14jun2021, outcome "unknown", described as "head tightness"; hypoaesthesia (medically significant) with onset 14jun2021, outcome "unknown", described as "numbness of the right side of the body"; blindness transient (medically significant) with onset 14jun2021, outcome "unknown", described as "temporary vision loss / blurred vision while the patient was watching tv, she could no longer distinguish colours and shapes."; salivary hypersecretion (medically significant) with onset 14jun2021, outcome "unknown", described as "turbidity right side loss salivation/salivation leak"; optic nerve disorder (non-serious) with onset jul2021, outcome "unknown", described as "thinning of the left optic nerve"; neuritis (non-serious) with onset jul2021, outcome "unknown", described as "ischemic neuritis". the event "temporary vision loss / blurred vision while the patient was watching tv, she could no longer distinguish colours and shapes." was evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: investigation: diagnosed with thinning of the left optic nerve, notes: (the seeing eye) due to ischemic neuritis. additional information: after one hour salivation leak, numbness of the right side of the body, throbbing headache and pressure, symptoms passed within a few hours. after a week, blurred vision while the patient was watching tv, she could no longer distinguish colours and shapes. this symptom lasted for a few hours, the patient had been followed for years by the privacy. in july, she went to privacy and was diagnosed with thinning of the left optic nerve (the seeing eye) due to ischemic neuritis, familiar hypercholesterolemia and affected allergopathy. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: office visit; result unstructured data: test result:diagnosed with thinning of the left optic nerve; comments: (the seeing eye) due to ischemic neuritis
Liste des symptômes
investigation headache neuritis hypoaesthesia salivary hypersecretion tension headache blindness transient optic nerve disorder
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