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VAERS ID 920928
성별 남성
나이
주 코드 FR
제약회사 PFIZER\BIONTECH
로트 번호
예방접종 횟수
접종일 2020-12-14
발병일 2020-12-01
상태 후유증
증상
  • 발열(Pyrexia)
  • 혈액 검사(Blood test)
  • 실신(Malaise)
  • 이동성 감소(Mobility decreased)
  • 심전도(Electrocardiogram)
  • 균형 장애(Balance disorder)
  • 체온(Body temperature)

이환 중 질병

지병

Medical History/Concurrent Conditions: Parkinson's disease; Comments: Patient has not had symptoms associated with COVID-19 Patient has not been tested/or has had an inconclusive test for COVID-19. Unsure if patient is enrolled in clinical trial.

기타 의료

이전 예방접종

알레르기

임상 검사

Test Date: 202012; Test Name: bloods; Result Unstructured Data: Test Result:unknown results; Comments: awaited; Test Date: 202012; Test Name: temperature; Result Unstructured Data: Test Result:high; Test Date: 202012; Test Name: Electrocardiogram; Result Unstructured Data: Test Result:normal

증상 상세

Malaise/unwell; mobility decreased/decreased mobility; High temperature; unsteadiness/More unsteady on feet; This is a spontaneous report from a contactable physician downloaded from the Medicines Agency (MA) WEB GB-MHRA-WEBCOVID-20201217104618, Safety Report Unique Identifier GB-MHRA-ADR 24544187.
A 84-year-old male patient received BNT162B2, via an unspecified route of administration on 14Dec2020 at single dose for COVID-19 immunization.
Medical history included Parkinson's disease from an unknown date and unknown if ongoing.
The patient's concomitant medications were not reported.
The patient experienced mobility decreased, high temperature, unsteadiness all in Dec2020, malaise on 15Dec2020.
On 15Dec2020 the patient had been generally unwell since vaccine.
The patient experienced decreased mobility, high temperature, more unsteady on feet in Dec2020.
All the events were assessed as disability.
Patient had not had symptoms associated with COVID-19.
Patient had not been tested or had an inconclusive test for COVID-19.
Unsure if patient was enrolled in clinical trial.
The patient underwent lab tests and procedures which included electrocardiogram: normal in Dec2020, bloods unknown results(awaited) and temperature: high in Dec2020.
The outcome of event malaise was not recovered, the other events was unknown.
No follow-up attempts are possible, information on batch number cannot be obtained.