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VAERS Report 2136914

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: fd0168


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-06-19
Date d’apparition
131
Nombre de jours (date d’apparition – date de vaccination)
131
Description de l’événement indésirable

vaccination failure/1st dose 8may2021/2nd dose 19jun2021/sars-cov-2 test: (28oct2021) positive; sars-cov-2 infection/sars-cov-2 test: (28oct2021) positive; this is a spontaneous report received from a contactable reporter(s) (physician) from a regulatory authority. regulatory number: at-basgages-2022-015074. this case is one of w two reports. this report is for the lack of efficacy report. a 60 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 19jun2021 (lot number: fd0168) as dose 2, single and intramuscular, administration date 08may2021 (lot number: ey3014) as dose 1, 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 28oct2021, outcome "unknown", described as "vaccination failure/1st dose 8may2021/2nd dose 19jun2021/sars-cov-2 test: (28oct2021) positive"; covid-19 (medically significant) with onset 28oct2021, outcome "unknown", described as "sars-cov-2 infection/sars-cov-2 test: (28oct2021) positive". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (28oct2021) positive, notes: variant pcr-based: 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-202200287757 same reporter, same patient, different dose, different events

Données de laboratoire
test date: 20211028; test name: covid-19 pcr test; test result: positive ; comments: variant pcr-based: 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