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: ff0680
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-07-30
- Date d’apparition
- 93
- Nombre de jours (date d’apparition – date de vaccination)
- 93
- Description de l’événement indésirable
-
vaccination failure/ sars-cov-2 infection/ patient tested positive for covid-19 pcr test; vaccination failure/ sars-cov-2 infection/ patient tested positive for covid-19 pcr test; this is a spontaneous report received from a contactable reporter (physician) from the ra. the regulatory number is at-basgages-2022-015062. a 17-year-old female patient received the second dose of bnt162b2 (comirnaty), intramuscular on 30jul2021 (batch/lot number: ff0680) as dose 2, single and received the first dose of bnt162b2 (comirnaty), intramuscular on 11jun2021 (batch/lot number: fd0168) as dose 1, single for covid-19 immunization. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: drug ineffective (medically significant), covid-19 (medically significant) all with onset 31oct2021, outcome "unknown" and all described as "vaccination failure/ sars-cov-2 infection/ patient tested positive for covid-19 pcr test." the patient underwent the following laboratory tests and procedures: covid-19 pcr test (sars-cov-2 test): (31oct2021) positive, notes: pcr-based variants: n.a.; variant sequenced: n.a.; n501y-positive: unknown. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : at-pfizer inc-202200290855 same reporter/patient/drug; different dose/ event
- Données de laboratoire
-
test date: 20211031; test name: covid-19 pcr test; test result: positive ; comments: pcr-based variants: n.a. variant sequenced: n.a. n501y-positive: unknown
- Liste des symptômes
-
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