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VAERS Report 2157395

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fp8191


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-28
Date d’apparition
2
Nombre de jours (date d’apparition – date de vaccination)
2
Description de l’événement indésirable

serious blurring of vision; visual impairment; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-844530. a 62 year-old male patient received bnt162b2 (comirnaty), administered in deltoid right, administration date 28jan2022 (lot number: fp8191) as dose 1, single for covid-19 immunisation. relevant medical history included: "retinitis pigmentosa" (unknown if ongoing). the patient's concomitant medications were not reported. the following information was reported: visual impairment (disability) with onset 30jan2022, outcome "not recovered", described as "visual impairment"; vision blurred (non-serious), outcome "unknown", described as "serious blurring of vision". reporter comment: authorisation to contact caregiver. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
vision blurred visual impairment
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?
Oui
Allergies:
na
Maladie actuelle
na