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: fc2473
- Date de réception du rapport
- 2022-02-24
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-06-03
- Date d’apparition
- 148
- Nombre de jours (date d’apparition – date de vaccination)
- 148
- Description de l’événement indésirable
-
vaccination failure; sars-cov-2 infection/pcr-based variant and variant sequenced: n.a; n501y-positive: unknown; this is a spontaneous report received from a contactable reporter (physician) from the agency web. regulatory number: at-basgages-2022-015142 (ra). a 68-year-old female patient received bnt162b2 (comirnaty), administration date 22apr2021 (lot number: ew4815) as dose 1, single then administration date 03jun2021 (lot number: fc2473) 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 drug ineffective also reported as vaccination failure as having sars-cov-2 infection on 29oct2021. on that same day of 29oct2021, the patient had positive covid-19 pcr test (pcr-based variant and variant sequenced: n.a; n501y-positive: unknown). events were considered serious (medically significant) and outcome of the events were unknown. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : at-pfizer inc-202200290766 same patient /drug, different dose number and event
- Données de laboratoire
-
test date: 20211029; test name: covid-19 pcr test; test result: positive ; comments: pcr-based variant and 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