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VAERS Report 2157387

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
2022-02-03
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

headache; vertigo; dose 2: 23sep2021 / dose 3: 03feb2022 = 134 days; this is a spontaneous report received from a contactable reporter(s) (physician) from the ra-web. regulatory number: it-minisal02-844245. a 13 year-old female patient received bnt162b2 (comirnaty), administered in arm left, administration date 03feb2022 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single), administration date: 02sep2021, for covid-19 immunization; comirnaty (dose 2, single), administration date: 23sep2021, for covid-19 immunization. the following information was reported: headache (hospitalization) with onset 04feb2022, outcome "recovered" (15feb2022), described as "headache"; vertigo (hospitalization) with onset 04feb2022, outcome "recovering", described as "vertigo"; inappropriate schedule of product administration (non-serious) with onset 03feb2022, outcome "unknown", described as "dose 2: 23sep2021 / dose 3: 03feb2022 = 134 days". 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
headache vertigo inappropriate schedule of product administration
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na