Page breadcrumb nav

VAERS Report 2136944

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

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
2021-06-08
Date d’apparition
142
Nombre de jours (date d’apparition – date de vaccination)
142
Description de l’événement indésirable

vaccination failure/variant pcr-based: b.1.617.2; sars-cov-2 infection, other/variant pcr-based: b.1.617.2; this is a spontaneous report received from a contactable reporter (physician) from the ra-web. regulatory number: at-basgages-2022-015116. a 59-year-old male patient received bnt162b2 (comirnaty), intramuscular, administration date 08jun2021 (lot number: fd1921) as dose 2, single and intramuscular, administration date 27apr2021 (lot number: ex0893) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. on 28oct2021, the patient experienced vaccination failure and sars-cov-2 infection, other; both (medically significant) with outcome of unknown. the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (28oct2021) positive, notes: variant pcr-based: b.1.617.2, variant sequenced: n.a. and n501y positive: no. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : at-pfizer inc-202200286552 same reporter/patient/drug, different events/dose

Données de laboratoire
test date: 20211028; test name: covid-19 pcr test; test result: positive ; comments: variant pcr-based: b.1.617.2, variant sequenced: n.a. and n501y positive: no
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