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VAERS Report 2136947

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: ff0680


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-07-18
Date d’apparition
102
Nombre de jours (date d’apparition – date de vaccination)
102
Description de l’événement indésirable

vaccination failure; sars-cov-2 infection/variant pcr-based: b.1.617.2; variant sequenced: n.a.; n501y positive: no; this is a spontaneous report received from a contactable reporter (physician) from the regulatory authority-web. regulatory number: at-basgages-2022-015120. a 47-year-old female patient received bnt162b2 (comirnaty), administration date 22jun2021 (lot number: fd4555) as dose 1, single then administration date 18jul2021 (lot number: ff0680) as dose 2, single both given intramuscularly for covid-19 immunization. the patient's relevant medical history and concomitant medications were not reported. it was reported that the patient had vaccination failure as having sars-cov-2 infection on 28oct2021. on that same day of 28oct2021, the patient had positive covid-19 pcr test (variant pcr-based: b.1.617.2; variant sequenced: n.a.; n501y positive: no). events were considered serious (medically significant) and outcome of the events were unknown. no follow-up attempts are possible. no further information is expected

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.; 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