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VAERS Report 2157007

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
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
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 ra. the reporter is the patient. a 62 year-old female patient received bnt162b2 (bnt162b2), administration date 10mar2021 (batch/lot number: unknown) as dose number unknown , single and (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "constipation" (unspecified if ongoing). the patient's concomitant medications were not reported. patient has not had symptoms associated with covid-19. the following information was reported: drug ineffective (medically significant), covid-19 (medically significant) all with onset 09jul2021, outcome "not recovered" and all described as "sars-cov-2 infection". a stop date of 18feb2022 was reported for sars-cov-2 infection. the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (09jul2021) positive, notes: yes - positive covid-19 test. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20210709; 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