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