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: f06840
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-07-03
- Date d’apparition
- 122
- Nombre de jours (date d’apparition – date de vaccination)
- 122
- Description de l’événement indésirable
-
i got covid-19. 02nov2021. i had mild symptoms.; i got covid-19. 02nov2021. i had mild symptoms.; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web and health authority. the reporter is the patient. a 46 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 03jul2021 (lot number: f06840) as dose 2, 0.3 ml single and intramuscular, administration date 29may2021 (lot number: fc8736) as dose 1, 0.3 ml single for covid-19 immunisation. relevant medical history included: "intra-uterine contraceptive device insertion" (not ongoing), notes: she had a insertion mirena spiral. concomitant medication(s) included: mirena taken for intrauterine contraception. the following information was reported: drug ineffective (medically significant), outcome "unknown", suspected covid-19 (medically significant) with onset 02nov2021, outcome "unknown" and all described as "i got covid-19. 02nov2021. i had mild symptoms.". therapeutic measures were taken as a result of drug ineffective, suspected covid-19. no follow-up attempts are needed. no further information is expected
- 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