Vaer Report Details
Age: NA
Gender: Female
State: Outside US
- Patient Died?
- No
- Vaccine information
-
Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Type: Coronavirus 2019 vaccine
Manufacturer: PFIZER
Lot: fc5089
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-06-18
- Date of Onset
- 2
- Number of days (onset date – vaccination date)
- 2
- Adverse Event Description
-
pruritus; widespread maculo-papular rash; this is a non-interventional study report from the ra-web. regulatory number: it-minisal02-845111. a 47 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 18jun2021 10:08 (lot number: fc5089, expiration date: 21oct2021) as dose 1, 0.3 ml single for covid-19 immunisation. relevant medical history included: "house dust mite allergy" (unknown if ongoing); "allergy to grains" (unknown if ongoing). the patient's concomitant medications were not reported. the following information was reported: pruritus (hospitalization) with onset 20jun2021, outcome "recovering", described as "pruritus"; rash maculo-papular (hospitalization) with onset 20jun2021, outcome "recovering", described as "widespread maculo-papular rash". therapeutic measures were taken as a result of pruritus, rash maculo-papular included administration of trimeton 1 fl im and urbason 40 mg 1 fl iv with partial benefit. the reporter's assessment of the causal relationship of the "pruritus" and "widespread maculo-papular rash" 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: reported events are assessed as related to the suspect drug based on drug safety profile
- Lab Data
-
na
- List of symptoms
-
pruritus rash maculo-papular
- Patient Died?
- No
- Date Died
- NA
- Birth defect
- false
- Vaccine Administered By:
- Other
- Vaccine Purchased By:
- Unknown
- Patient visit ER?
- No
- Patient Hospitalized?
- Yes
- Stay in hospital
- No
- Days in hospital
- Unspecified
- Permanent disability?
- No
- Allergies:
-
na
- Current Illness
-
na