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VAERS Report 2157002

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
2021-08-01
Date d’apparition
160
Nombre de jours (date d’apparition – date de vaccination)
160
Description de l’événement indésirable

drug ineffective; covid-19; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. the reporter is the patient. a 32 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administration date 01jun2021 (batch/lot number: unknown) as dose 1 ,single and administration date 01aug2021 (batch/lot number: unknown) as dose 2 , single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. patient was not currently breastfeeding. patient last menstrual period date was 05feb2022. the following information was reported: drug ineffective (medically significant) with onset 08jan2022, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 08jan2022, outcome "unknown", described as "covid-19". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (08jan2022) yes - positive covid-19 test. patient was not enrolled in clinical trial. the report did not relate to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200319119 same patient/reporter/different dose(dose 2)/event;gb-pfizer inc-202200298671 same patient/reporter/different dose(booster)/event;gb-pfizer inc-202200319118 same patient/reporter/different dose(dose 1)/event

Données de laboratoire
test date: 20220108; test name: covid-19 virus test; result unstructured data: test result: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