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VAERS Report 2157399

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: fc5089


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-06-18
Date d’apparition
2
Nombre de jours (date d’apparition – date de vaccination)
2
Description de l’événement indésirable

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

Données de laboratoire
na
Liste des symptômes
pruritus rash maculo-papular
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