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: fd1921
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-06-09
- Date d’apparition
- 135
- Nombre de jours (date d’apparition – date de vaccination)
- 135
- Description de l’événement indésirable
-
vaccination failure; sars-cov-2 infection; this is a spontaneous report received from a contactable physician from a regulatory authority. regulatory number: at-basgages-2022-007156. a 58 year-old female patient received the first and second doses of bnt162b2 (comirnaty) on 29apr2021 (lot number: ey3014) and 09jun2021 (lot number: fd1921); both intramuscular as single doses for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: vaccination failure (medically significant) with onset 22oct2021, outcome "unknown"; covid-19 (medically significant) with onset 22oct2021, outcome "unknown", described as "sars-cov-2 infection". the patient underwent the following laboratory tests and procedures: covid-19 pcr test on 22oct2021, which was positive (variant pcr-based: b.1.617.2; variant sequenced: n.a.; n501y-positive: no). no follow-up attempts possible. no further information expected
- Données de laboratoire
-
test date: 20211022; test name: covid-19 pcr test; test result: positive ; comments: variant pcr-based: b.1.617.2 variant sequenced: n.a. n501y-positive: no
- Liste des symptômes
-
covid-19 sars-cov-2 test 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