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VAERS Report 2157414

Case Report Section

Détails du rapport Vaer

Âge: 60 ans

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (JANSSEN))

Type : Coronavirus 2019 vaccine

Fabricant: JANSSEN

Lot: xd974


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-09-20
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

vision decreased; this spontaneous report received from a consumer by a regulatory authority (it-minisal02-846615) on 28-feb-2022 concerned a 60 year old female. the patient's weight was 58 kilograms, and height was 160 centimeters. no past medical history or concurrent conditions were reported. the patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: xd974 expiry: unknown) 1 dosage forms, 1 total, administered on 20-sep-2021 for vaccination. no concomitant medications were reported. on 20-sep-2021, the patient experienced vision decreased (worsening of day and night vision od(most probably meaning right eye from 'oculus dextrus') already suffering from retinal pathology photophobia). the action taken with covid-19 vaccine ad26.cov2.s was not applicable. the patient had not recovered from vision decreased. this report was serious (disability or permanent damage).; reporter's comments: glaucoma; already suffering from retinal pathology photophobia

Données de laboratoire
na
Liste des symptômes
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