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VAERS Report 2136716

Case Report Section

Détails du rapport Vaer

Âge: 31 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: fc3098


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-06-17
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

covid-19; covid-19; irregular menstrual cycle; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: nl-lrb-00734534. a 31 year-old female patient received bnt162b2 (comirnaty), administration date 17jun2021 (lot number: fc3098) at the age of 31 years as dose number unknown, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: covid-19 (medically significant), drug ineffective (medically significant) all with onset 28jun2021, outcome "unknown" and all described as "covid-19"; menstruation irregular (non-serious) with onset 17jun2021, outcome "recovering", described as "irregular menstrual cycle". the patient underwent the following laboratory tests and procedures: sars-cov-2 test positive: (28jun2021) positive, notes: 23:00:00. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test date: 20210628; test name: sars-cov-2 test positive; test result: positive ; comments: 23:00:00
Liste des symptômes
menstruation irregular drug ineffective covid-19 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