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VAERS Report 2136739

Case Report Section

Détails du rapport Vaer

Âge: 42 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: ff0688


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-08-02
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

drug ineffective; covid-19; break through bleeding; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web and product quality group. regulatory number: nl-lrb-00737609. a 42 year-old female patient received bnt162b2 (comirnaty), administration date 02aug2021 (lot number: ff0688) at the age of 42 years as dose 2, 0.3 ml single and administration date 15jun2021 (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 18nov2021, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 18nov2021, outcome "unknown", described as "covid-19"; intermenstrual bleeding (non-serious) with onset 02aug2021, outcome "not recovered", described as "break through bleeding". the patient underwent the following laboratory tests and procedures: sars-cov-2 test positive: (18nov2021) positive. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20211118; test name: sars-cov-2 test positive; test result: positive
Liste des symptômes
drug ineffective covid-19 sars-cov-2 test positive intermenstrual bleeding
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