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VAERS Report 2136733

Case Report Section

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: unknown


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-08-09
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

vaccination failure; covid-19; fatigue; abdominal pain; constipation; irregular menstrual cycle; malaise; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority -web. regulatory number: nl-lrb-00737231. a 20 year-old female patient received bnt162b2 (comirnaty), administration date 09aug2021 (lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 16dec2021 (unspecified if ongoing), notes: at 23:00:00. the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single, 0.3ml, batch/lot number: unknown.), administration date: 04jul2021, for covid-19 immunisation. the following information was reported: vaccination failure (medically significant) with onset 16dec2021, outcome "unknown", described as "vaccination failure"; covid-19 (medically significant) with onset 16dec2021, outcome "unknown", described as "covid-19"; malaise (non-serious) with onset 10aug2021, outcome "recovering", described as "malaise"; constipation (non-serious) with onset 06dec2021, outcome "not recovered", described as "constipation"; menstruation irregular (non-serious) with onset 06dec2021, outcome "not recovered", described as "irregular menstrual cycle"; abdominal pain (non-serious) with onset 07dec2021, outcome "recovering", described as "abdominal pain"; fatigue (non-serious) with onset 10dec2021, outcome "not recovered", described as "fatigue". the patient underwent the following laboratory tests and procedures: sars-cov-2 test positive: (16dec2021) 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: 20211216; test name: sars-cov-2 test positive; test result: positive ; comments: at 23:00:00
Liste des symptômes
constipation menstruation irregular malaise fatigue abdominal pain covid-19 sars-cov-2 test positive 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