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VAERS Report 2157020

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: fk0596


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-11
Date d’apparition
103
Nombre de jours (date d’apparition – date de vaccination)
103
Description de l’événement indésirable

drug ineffective; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority (ra) and product quality group. the reporter is the patient. a 61 year-old female patient received bnt162b2 (comirnaty), administration date 11nov2021 (lot number: fk0596) as dose 3 (booster), single for covid-19 immunisation; covid-19 vaccine nrvv ad (chadox1 ncov-19) (covid-19 vaccine astrazeneca), administration date 07may2021 (batch/lot number: unknown) as dose 1 and administration date 13feb2021 (batch/lot number: unknown) as dose 2. relevant medical history included: "severe asthma attack", start date: nov2020 (unspecified if ongoing), notes: requiring hospitalisation nearly went to icu and were sure it was not covid but i thought it must be; "steroid therapy" (unspecified if ongoing), notes: taking regular steroid treatment (e.g. orally or rectally). take regular steroid inhalers and creams and occasional courses of steroid tablets; "immunodeficiency" (unspecified if ongoing), notes: taking other treatments or medicines, not listed above, known to lower the immune response; "asthma" (unspecified if ongoing). concomitant medication(s) included: influenza virus, administration date nov2021. past drug history included: methotrexate for fungal skin infection. the following information was reported: drug ineffective (medically significant) with onset 22feb2022, outcome "not recovered", described as "drug ineffective"; suspected covid-19 (medically significant) with onset 22feb2022, outcome "not recovered", described as "sars-cov-2 infection". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. additional information: patient had not had symptoms associated with covid-19 and was not enrolled in clinical trial. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200323366 same patient, same product, different dose/events

Données de laboratoire
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
Liste des symptômes
drug ineffective sars-cov-2 test 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