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VAERS Report 2157426

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: unknown


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

skin reaction of erythema multiforme type (diffuse over several body areas, with the appearance of nodules with a raised edge, persistent for several weeks); this is a spontaneous report received from a contactable reporter(s) (physician). a 16 year-old female patient received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: erythema multiforme (medically significant), outcome "not recovered", described as "skin reaction of erythema multiforme type (diffuse over several body areas, with the appearance of nodules with a raised edge, persistent for several weeks)". therapeutic measures were taken as a result of erythema multiforme. clinical course included: the reaction is described as diffuse over several body areas, with the appearance of nodules with a raised edge, persistent for several weeks and still being treated with cortisone therapy without apparent improvement. although the doctor wasn't the girl's direct physician. the lot number for bnt162b2 was not provided and will be requested during follow up.; sender's comments: based on the information in the case report, a possible causal relationship between the event erythema multiforme and suspect drug bnt162b2 cannot be 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
na
Liste des symptômes
erythema multiforme
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