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VAERS Report 2157019

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: fe1510


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-07-21
Date d’apparition
168
Nombre de jours (date d’apparition – date de vaccination)
168
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 ra and product quality group. the reporter is the patient. a 34 year-old female patient received bnt162b2 (bnt162b2), administration date 02jun2021 (lot number: ew3143) as dose 1, single and administration date 21jul2021 (lot number: fe1510) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: drug ineffective (medically significant) with onset 05jan2022, outcome "recovered" (17jan2022), described as "drug ineffective"; suspected covid-19 (medically significant) with onset 05jan2022, outcome "recovered" (17jan2022), described as "covid-19". additional information: patient last menstrual period date was reported as 21jan2022. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200333912 same patient/drug and different dose/events (dose 2);gb-pfizer inc-202200323270 same patient/drug and different dose/events (dose 1)

Données de laboratoire
na
Liste des symptômes
drug ineffective suspected covid-19
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