이상반응 보고
| VAERS ID | 2571003 |
|---|---|
| 성별 | 여성 |
| 나이 | |
| 주 코드 | FR |
| 제약회사 | PFIZER\BIONTECH |
| 로트 번호 | FA9091 |
| 예방접종 횟수 | 2 |
| 접종일 | 2021-07-09 |
| 발병일 | 2021-07-09 |
| 상태 | 중증 |
증상
- 관절통(Arthralgia)
- 사지의 통증(Pain in extremity)
- 부적절한 제품 관리 일정(Inappropriate schedule of product administration)
- 두드러기(Urticaria)
- 아나필락시 반응(Anaphylactic reaction)
- 불타는 감각(Burning sensation)
- 피부염(Dermatitis)
- 예방 접종 부위 소포(Vaccination site vesicles)
이환 중 질병
지병
기타 의료
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임상 검사
증상 상세
anaphylaxis three times in January/February; End of August burning skin all over body, chronic hives; chronic hives; Burning, inflamed skin and chronic hives; A blister appeared at the site after the second injection; Severe arm and shoulder pain immediately following vaccine for about 3-4 days; Severe arm and shoulder pain immediately following vaccine for about 3-4 days; comirnaty (Dose Number: 1, administration date: 03May2021.
(COMIRNATY), on 09Jul2021 as dose 2,; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP).
The reporter is the patient.
A 53-year-old female patient received BNT162b2 (COMIRNATY), on 09Jul2021 as dose 2, single (Lot number: FA9091), in right arm for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Past drug history included: Penicillin, reaction(s): "Allergy"; Sulfa, reaction(s): "drug Allergy"; Symbicort.
Vaccination history included: comirnaty (Dose Number: 1, Batch/Lot No: EY4825, Location of injection: Arm Right), administration date: 03May2021.
The following information was reported: INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (non-serious) with onset 09Jul2021, outcome "unknown", described as "comirnaty (Dose Number: 1, administration date: 03May2021.
(COMIRNATY), on 09Jul2021 as dose 2,"; VACCINATION SITE VESICLES (life threatening) with onset Aug2021, outcome "unknown", described as "A blister appeared at the site after the second injection"; DERMATITIS (life threatening) with onset Aug2021, outcome "not recovered", described as "Burning, inflamed skin and chronic hives"; BURNING SENSATION (life threatening) with onset Aug2021, outcome "not recovered", described as "End of August burning skin all over body, chronic hives"; PAIN IN EXTREMITY (life threatening), ARTHRALGIA (life threatening) all with onset Aug2021, outcome "unknown" and all described as "Severe arm and shoulder pain immediately following vaccine for about 3-4 days"; ANAPHYLACTIC REACTION (medically significant, life threatening) with onset Aug2021, outcome "not recovered", described as "anaphylaxis three times in January/February"; URTICARIA (life threatening) with onset Aug2021, outcome "not recovered", described as "chronic hives".
The events "anaphylaxis three times in january/february", "end of august burning skin all over body, chronic hives", "chronic hives", "burning, inflamed skin and chronic hives", "a blister appeared at the site after the second injection" and "severe arm and shoulder pain immediately following vaccine for about 3-4 days" required physician office visit and emergency room visit.
Therapeutic measures were taken as a result of anaphylactic reaction, burning sensation, urticaria, dermatitis, vaccination site vesicles, pain in extremity, arthralgia.
Clinical course: Severe arm and shoulder pain immediately following vaccine for about 3-4 days.
A blister appeared at the site after the second injection.
End of August burning skin all over body, chronic hives.
unexplained anaphylaxis three times in January/February (as reported).
Burning, inflamed skin and chronic hives continuing today.
; Sender's Comments: Linked Report(s) : CA-PFIZER INC-202300039541 Same patient/drug, different events;