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VAERS Report 2157029

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: fa1027


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-06-26
Date d’apparition
127
Nombre de jours (date d’apparition – date de vaccination)
127
Description de l’événement indésirable

covid-19 confirmed by positive covid-19 test; covid-19 confirmed by positive covid-19 test; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra. aa 48 year-old female patient (not pregnant) received bnt162b2 (bnt162b2), administration date 26jun2021 (lot number: fa1027) as dose 2, single and administration date 25may2021 (lot number: et8885) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. patient was not currently breastfeeding. the patient's concomitant medications were not reported. patient last menstrual period date was 10feb2022. the following information was reported: vaccination failure (medically significant), covid-19 (medically significant) all with onset 31oct2021, outcome "recovered" (08nov2021) and all described as "covid-19 confirmed by positive covid-19 test". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (31oct2021) yes - positive covid-19 test. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200298715 same patient/product, different dose/events; gb-pfizer inc-202200348146 same patient/product, different dose/events

Données de laboratoire
test date: 20211031; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
Liste des symptômes
covid-19 sars-cov-2 test vaccination failure
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