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VAERS Report 2156761

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
2021-07-17
Date d’apparition
179
Nombre de jours (date d’apparition – date de vaccination)
179
Description de l’événement indésirable

sars-cov-2 infection; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202161104181240-5bzp9. other case identifier(s): gb-mhra-adr 26609638. a 37 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administration date 17jul2021 (batch/lot number: unknown) as dose 2, single and administration date 15may2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "suspected covid-19", start date: 10jan2022, stop date: 18jan2022. the patient's concomitant medications were not reported. the following information was reported: drug ineffective (medically significant) with onset 12jan2022, outcome "unknown", covid-19 (medically significant) with onset 12jan2022, outcome "recovered" (20jan2022) and all described as "sars-cov-2 infection". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (12jan2022) positive, notes: yes - positive covid-19 test. the patient last menstrual date was 14jan2022. the patient is not currently breastfeeding. the patient had irregular periods after second vaccination. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20220112; test name: covid-19 virus test; test result: positive ; comments: yes - positive covid-19 test
Liste des symptômes
drug ineffective covid-19 sars-cov-2 test
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