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VAERS Report 2156984

Case Report Section

Détails du rapport Vaer

Âge: 36 ans

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
2021-12-23
Date d’apparition
28
Nombre de jours (date d’apparition – date de vaccination)
28
Description de l’événement indésirable

nasal swab positive; nasal swab positive; this is a spontaneous report received from a contactable reporter(s) (other hcp) from product quality. the reporter is the patient. a 36 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administered in arm left, administration date 23dec2021 08:00 (batch/lot number: unknown) at the age of 36 years as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose number: 1; manufacturer unknown, batch/lot no: unknown. unable to locate or read the details, location of injection: arm left, event start time: 05:30), for covid-19 vaccination, reaction(s): "severe bloating in lead up to menstruation", "extremely heavy bleeding from day 1"; covid-19 vaccine (dose number: 2; manufacturer unknown, batch/lot no: unknown. unable to locate or read the details, location of injection: arm left, event start time: 05:30), for covid-19 vaccination, reaction(s): "severe bloating in lead up to menstruation", "extremely heavy bleeding from day 1". the following information was reported: covid-19 (medically significant), drug ineffective (medically significant) all with onset 20jan2022, outcome "unknown" and all described as "nasal swab positive". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (20jan2022) positive, notes: nasal swab. clinical course: the patient did not receive any other vaccines within 4 weeks prior to the covid vaccine. the patient was not diagnosed with covid-19. the patient has been tested for covid-19.reason why batch/lot is unknown: unable to locate or read the details. the lot number for bnt162b2 was not provided and will be requested during follow up

Données de laboratoire
test date: 20220120; test name: nasal swab; test result: positive ; comments: nasal swab
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