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VAERS Report 2157016

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: fm3092


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-17
Date d’apparition
15
Nombre de jours (date d’apparition – date de vaccination)
15
Description de l’événement indésirable

covid-19 antigen test- positive/ tested positive for covid on lateral flow; covid-19 antigen test- positive/ tested positive for covid on lateral flow; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority (ra) and health authority. a 17-year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 17dec2021 (lot number: fm3092) as dose 2, 0.3 ml single and administration date 14aug2021 (lot number: fe8087) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: drug ineffective (hospitalization), covid-19 (hospitalization) all with onset jan2022, outcome "unknown" and all described as "covid-19 antigen test- positive/ tested positive for covid on lateral flow". the patient was hospitalized for drug ineffective, covid-19 (start date: 28jan2022). the event "covid-19 antigen test- positive/ tested positive for covid on lateral flow" was evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: lumbar puncture: (unspecified date) clear, notes: had lumbar puncture, which was clear; sars-cov-2 test: (jan2022) positive; (unspecified date) positive, notes: tested positive for covid on lateral flow done at home in early january as per patient / family. clinical course: patient is not pregnant. patient is not currently breastfeeding. the patient admitted to hospital with back pain, anal incontinence and difficulty walking on 28jan2022, had lumbar puncture, which was clear. at that time, fatigue and weight loss had been ongoing for a couple of months as per mum. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: lumbar puncture; result unstructured data: test result:clear; comments: had lumbar puncture, which was clear; test date: 202201; test name: covid-19 antigen test; test result: positive ; test name: lateral flow; test result: positive ; comments: tested positive for covid on lateral flow done at home in early january as per patient / family
Liste des symptômes
drug ineffective lumbar puncture 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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na