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VAERS Report 2157435

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
2021-06-25
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

pericarditis; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. a 19-year-old female patient received bnt162b2 (comirnaty), administered in arm left, administration date 25jun2021 (lot number: fc5089, expiration date: 31jan2022) 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: pericarditis (medically significant), outcome "unknown", described as "pericarditis". the patient underwent the following laboratory tests and procedures: cardiovascular examination: pericarditis; echocardiogram: pericarditis; electrocardiogram: pericarditis; quality of life decreased: 7/10. therapeutic measures were taken as a result of pericarditis. clinical information: undergoing drug treatment. impact on quality of life (7/10). comirnaty dose 2: 31jul2021, lot number: ff7481, expiration date: 31jul2021, intramuscular. not performed 3rd dose no previous covid. follow-up attempts are completed. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200159252 same reporter and patient, different dose and events

Données de laboratoire
test name: cardiological examination; result unstructured data: test result:pericarditis; test name: echocardiogram; result unstructured data: test result:pericarditis; test name: electrocardiogram; result unstructured data: test result:pericarditis; test name: impact on quality of life; result unstructured data: test result:7/10
Liste des symptômes
pericarditis quality of life decreased electrocardiogram echocardiogram cardiovascular examination
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