Détails du rapport Vaer
Âge: N/A
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: unknown
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2022-01-26
- Date d’apparition
- 16
- Nombre de jours (date d’apparition – date de vaccination)
- 16
- Description de l’événement indésirable
-
drug ineffective; symptomatic contagion from sars cov 2 in subjects undergoing a full cycle plus booster dose; this is a spontaneous report received from a contactable reporter(s) (physician). the reporter is the patient. a male patient received bnt162b2 (comirnaty), administration date 26jan2022 (batch/lot number: unknown) as dose 3 (booster), single, administration date 27sep2021 (batch/lot number: unknown) as dose 2, single and administration date 25jan2021 (batch/lot number: unknown) as dose 1, 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 11feb2022, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 11feb2022, outcome "unknown", described as "symptomatic contagion from sars cov 2 in subjects undergoing a full cycle plus booster dose". the lot number for bnt162b2 was not provided and will be requested during follow up.; sender's comments: based on the information in the case report, a possible causal relationship between the events and suspect drug bnt162b2 cannot be excluded.,linked report(s) : it-pfizer inc-202200350651 same reporter, patient and suspect vaccine, different suspect dose and ae
- Données de laboratoire
-
na
- Liste des symptômes
-
drug ineffective 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