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VAERS Report 2136746

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
2021-07-02
Date d’apparition
11
Nombre de jours (date d’apparition – date de vaccination)
11
Description de l’événement indésirable

drug ineffective; covid-19; menstrual irregularity; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: nl-lrb-00747115. a 36-year-old female patient received bnt162b2 (comirnaty), administration date 02jul2021 (lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. the patient took concomitant medications. the following information was reported: drug ineffective (medically significant) with onset 14nov2021, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 14nov2021, outcome "unknown", described as "covid-19"; menstruation irregular (non-serious) with onset 13jul2021, outcome "not recovered", described as "menstrual irregularity". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (14nov2021) 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: 20211114; test name: sars-cov-2 test; test result: positive ; comments: at 23:00:00
Liste des symptômes
menstruation irregular drug ineffective covid-19 sars-cov-2 test
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