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VAERS Report 2136711

Case Report Section

Détails du rapport Vaer

Âge: 21 ans

Genre: Female

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
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-07-01
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

drug ineffective; covid-19; inappropriate schedule of vaccine administered; irregular menstrual cycle; menstrual cramps; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra. regulatory number: nl-lrb-00734184. a 21 year-old female patient received bnt162b2 (comirnaty), administration date 01jul2021 (batch/lot number: unknown) at the age of 21 years as dose 2, 0.3 ml single and administration date 17may2021 (batch/lot number: unknown) as dose 1, 0.3 ml 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 18jul2021 23:00, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 18jul2021 23:00, outcome "unknown", described as "covid-19"; inappropriate schedule of product administration (non-serious) with onset 01jul2021, outcome "unknown", described as "inappropriate schedule of vaccine administered"; menstruation irregular (non-serious) with onset 01jul2021, outcome "not recovered", described as "irregular menstrual cycle"; dysmenorrhoea (non-serious) with onset 01jul2021, outcome "not recovered", described as "menstrual cramps". the patient underwent the following laboratory tests and procedures: sars-cov-2 test positive: (18jul2021) positive, notes: at 23:00:00. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20210718; test name: sars-cov-2 test positive; test result: positive ; comments: at 23:00:00
Liste des symptômes
menstruation irregular drug ineffective dysmenorrhoea covid-19 inappropriate schedule of product administration sars-cov-2 test positive
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