Page breadcrumb nav

VAERS Report 2157391

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: fn1448


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-01-31
Date d’apparition
375
Nombre de jours (date d’apparition – date de vaccination)
375
Description de l’événement indésirable

left, lateral region of the middle third calf, with apparently perforating venous branch thrombosis; this is a non-interventional study report from the agency regulatory authority-web. regulatory number: it-minisal02-844345. a 61 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 31jan2021 (lot number: fn1448) as dose 1, single for covid-19 immunisation. relevant medical history included: "venous thrombosis deep (limbs)" (unknown if ongoing), notes: previous dvt right upper limb venipuncture site; "saphenectomy" (unknown if ongoing), notes: right. family history included: "familial risk factor" (unknown if ongoing), notes: paternal family history of venous pathology. the patient's concomitant medications were not reported. the following information was reported: venous thrombosis (medically significant) with onset 10feb2022, outcome "not recovered", described as "left, lateral region of the middle third calf, with apparently perforating venous branch thrombosis". the patient underwent the following laboratory tests and procedures: ultrasound doppler: thrombosis of venous branch, notes: on the left lateral region of the calf middle third, present thrombosis of venous branch, apparently perforates; ultrasound scan: 3.5 mm, notes: compression ultrasonography:3.5 mm extended & lt; 5 cm. therapeutic measures were taken as a result of venous thrombosis included clexane 4000ui 0.4 ml. sender's comment: the report comes from the regulatory authority study. all the data in our possession has already been entered. the reporter's assessment of the causal relationship of the "left, lateral region of the middle third calf, with apparently perforating venous branch thrombosis" with the suspect product(s) bnt162b2 was not provided at the time of this report. since no determination has been received, the case is managed based on the company causality assessment. no follow-up attempts are possible. no further information is expected.; sender's comments: based on the current available limited information in the case provided, the causal association between the event venous thrombosis and the use of suspect product bnt162b2 cannot be fully excluded. the impact of this report on the benefit/risk profile of the pfizer product is evaluated as part of pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees, and investigators, as appropriate

Données de laboratoire
test name: venous doppler lowe limbs; result unstructured data: test result:thrombosis of venous branch; comments: on the left lateral region of the calf middle third, present thrombosis of venous branch, apparently perforates; test name: diagnostic ultrasound; result unstructured data: test result:3.5 mm; comments: compression ultrasonography:3.5 mm extended & lt; 5 cm
Liste des symptômes
ultrasound doppler ultrasound scan venous thrombosis
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