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VAERS Report 2157314

Case Report Section

Vaer Report Details

Age: NA

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: 1f1016a


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-12-08
Date of Onset
62
Number of days (onset date – vaccination date)
62
Adverse Event Description

positive molecular swab in symptomatic vaccinated; positive molecular swab in symptomatic vaccinated; rhinorrhea; congestion nasal; cough; this is a spontaneous report received from a contactable reporter(s) (other hcp) from the regulatory authority and product quality . regulatory number: it-minisal02-842788. a 40 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 08dec2021 (lot number: 1f1016a, expiration date: 30apr2022) as dose 3 (booster), 0.3ml single, intramuscular, administered in arm left, administration date 05feb2021 (lot number: el0725, expiration date: 31mar2021) as dose 2, 0.3ml single and intramuscular, administered in arm left, administration date 15jan2021 (lot number: ej6797, expiration date: 30apr2021) as dose 1, 0.3ml single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: vaccination failure (medically significant) with onset 08feb2022, outcome "unknown", covid-19 (medically significant) with onset 08feb2022, outcome "recovering" and all described. positive molecular swab in symptomatic vaccinated"; rhinorrhoea (non-serious) with onset 08feb2022, outcome "recovering", described as "rhinorrhea"; nasal congestion (non-serious) with onset 08feb2022, outcome "recovering", described as "congestion nasal"; cough (non-serious) with onset 08feb2022, outcome "recovering", described as "cough". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (10feb2022) positive. final conclusion for lot number 1f1016a: due to the fact, that no complaint sample was available and received at sanofi a full investigation cannot be performed. the investigation can only be performed based on the coa, the deviation system and a documentation check of the affected batch. with respect to the reason od complaint "product use attributes / lack of effect" a check of the deviation system of the semi-finished and finished drug product batch 1f1016/1f1016a was performed and showed no hint regarding the reason of complaint "product use attributes / lack of effect" during the manufacturing process. the coa (certificate of analysis) of the batch release was checked and met the specification in all tests points. furthermore, the documentation of the semi-finished and finished drug product batch 1f1016/1f1016a were checked and showed no indication of problems during the manufacturing process. all measurements associated with the complaint defect necessary to assure the quality of the product were performed before release, the product quality was assured. final conclusion: based on these results the reason of complaint "product ude attributes / lack of effect" was not related to the manufacturing process, but must have other reasons. the conclusion code "no fault detectable" was chosen. the investigation included reviewing the involved batch records, deviation investigation and an analysis of the complaint history for the reported lot and product type. the final scope was determined to be the associated lot(s) of the reported lot el0725 and lot ej6797. a complaint sample was not returned. no related quality issues were identified during the investigation. there is no impact on product quality, regulatory, validation and stability. regulatory authority concludes that the reported defect is not representative of the quality of the batch and the batch remains acceptable. the ntm process determined that no regulatory notification was required for lot el0725. whereas the ntm process determined that regulatory notification was required for lot ej6797. the reported defect could not be confirmed. no root cause or capa were identified as the complaint was not confirmed. follow-up attempts are completed. no further information is expected

Lab Data
test date: 20220210; test name: covid-19 pcr test; test result: positive
List of symptoms
nasal congestion rhinorrhoea cough covid-19 sars-cov-2 test vaccination failure
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na