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: fg3739
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-11-06
- Date d’apparition
- 83
- Nombre de jours (date d’apparition – date de vaccination)
- 83
- Description de l’événement indésirable
-
covid occurred in conjunction with the bleeding, around 28jan2022; covid occurred in conjunction with the bleeding, around 28jan; this is a spontaneous report received from a contactable reporter(s) (other hcp) from the regulatory authority-web and product quality group. a 43 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm right, administration date 06nov2021 17:15 (lot number: fg3739) as dose 3 (booster), single, intramuscular, administered in deltoid left, administration date 13mar2021 11:24 (lot number: et1831) as dose 2, single and intramuscular, administered in deltoid left, administration date 20feb2021 10:29 (lot number: ep9598) as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication(s) included: achillea; alchemilla spp.; melatonin; broncho vaxom adult. the following information was reported: vaccination failure (medically significant) with onset 28jan2022, outcome "unknown", described as "covid occurred in conjunction with the bleeding, around 28jan2022"; covid-19 (medically significant) with onset 28jan2022, outcome "unknown", described as "covid occurred in conjunction with the bleeding, around 28jan". the patient underwent the following laboratory tests and procedures: blood test: samples to check anaemia and iron. no follow-up attempts are possible. no further information expected. follow-up (28feb2022): follow-up attempts are completed. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200293907 same patient and suspect drug, different events
- Données de laboratoire
-
test name: blood samples; result unstructured data: test result:samples to check anaemia and iron
- Liste des symptômes
-
covid-19 blood 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