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VAERS Report 2157421

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: unknown


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-26
Date of Onset
16
Number of days (onset date – vaccination date)
16
Adverse Event Description

drug ineffective; symptomatic contagion from sars cov 2 in subjects undergoing a full cycle plus booster dose; this is a spontaneous report received from a contactable reporter(s) (physician). the reporter is the patient. a male patient received bnt162b2 (comirnaty), administration date 26jan2022 (batch/lot number: unknown) as dose 3 (booster), single, administration date 27sep2021 (batch/lot number: unknown) as dose 2, single and administration date 25jan2021 (batch/lot number: unknown) 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 11feb2022, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 11feb2022, outcome "unknown", described as "symptomatic contagion from sars cov 2 in subjects undergoing a full cycle plus booster dose". the lot number for bnt162b2 was not provided and will be requested during follow up.; sender's comments: based on the information in the case report, a possible causal relationship between the events and suspect drug bnt162b2 cannot be excluded.,linked report(s) : it-pfizer inc-202200350651 same reporter, patient and suspect vaccine, different suspect dose and ae

Lab Data
na
List of symptoms
drug ineffective covid-19
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