이상반응 보고
| VAERS ID | 1357284 |
|---|---|
| 성별 | 남성 |
| 나이 | 62세 |
| 주 코드 | MN |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | EW0161 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-04-20 |
| 발병일 | 2021-04-24 |
| 상태 | 입원 후유증 |
증상
- 보행불능(Gait inability)
- SARS-CoV-2 테스트(SARS-CoV-2 test)
- 균형 장애(Balance disorder)
- 뇌혈관 사고(Cerebrovascular accident)
- 혈중 콜레스테롤(Blood cholesterol)
- 수막염(Meningitis)
- 뇌염(Encephalitis)
이환 중 질병
지병
Medical History/Concurrent Conditions: Anxiety; Depression; High cholesterol
기타 의료
VITAMIN D [COLECALCIFEROL]; VENLAFAXINE; ASPRIN; ATORVASTATIN
이전 예방접종
알레르기
임상 검사
Test Name: cholesterol; Result Unstructured Data: Test Result:High; Test Date: 20210429; Test Name: Nasal swab; Result Unstructured Data: Test Result:Negative
증상 상세
Small stroke; Meningitis; Acute encephalitis; I lost my balance and endurance; could not walk on my own; This is a spontaneous report received from a contactable consumer reporting for himself.
A 62-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the age of 62 years old on 20Apr2021 (Lot number EW0161) on Right arm at single dose for COVID-19 immunization.
Facility where the most recent COVID-19 vaccine was administered at Pharmacy or Drug Store.
Medical history included high cholesterol, depression, anxiety.
Concomitant medications included colecalciferol (VITAMIN D), venlafaxine, acetylsalicylic acid (ASPRIN), atorvastatin.
Historical Vaccine included first dose of BNT162B2 (Lot number ER8734) at the age of 62 years old on 30Mar2021 on Right arm for COVID-19 immunization.
The patient stated "I could not walk on my own.
I lost my balance and endurance.
I spent two weeks in the hospital with a diagnosis of meningitis and acute encephalitis.
I also had a small stroke.
I am learning how to do everything again.
I have outpatient physical therapy and occupational therapy along with several follow up appointments.
" The events start date were on 24Apr2021.
All events resulted in Emergency room/department or urgent care, Hospitalization, Disability or permanent damage.
Number days hospitalization was 15 days.
Lab data also included Nasal Swab on 29Apr2021 with Negative result.
Treatment received for the events included IVIg therapy, antibiotics, PT, OT, SLP.
The outcome of the events were not resolved.
Information on Lot/Batch number was available.
Additional information has been requested.