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VAERS Report 2157428

Case Report Section

Vaer Report Details

Age: NA

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fg3739


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-11-06
Date of Onset
83
Number of days (onset date – vaccination date)
83
Adverse Event Description

covid occurred in conjunction with the bleeding, around 28jan2022; covid occurred in conjunction with the bleeding, around 28jan; this is a spontaneous report received from a contactable reporter(s) (other hcp) from the regulatory authority-web and product quality group. a 43 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm right, administration date 06nov2021 17:15 (lot number: fg3739) as dose 3 (booster), single, intramuscular, administered in deltoid left, administration date 13mar2021 11:24 (lot number: et1831) as dose 2, single and intramuscular, administered in deltoid left, administration date 20feb2021 10:29 (lot number: ep9598) as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication(s) included: achillea; alchemilla spp.; melatonin; broncho vaxom adult. the following information was reported: vaccination failure (medically significant) with onset 28jan2022, outcome "unknown", described as "covid occurred in conjunction with the bleeding, around 28jan2022"; covid-19 (medically significant) with onset 28jan2022, outcome "unknown", described as "covid occurred in conjunction with the bleeding, around 28jan". the patient underwent the following laboratory tests and procedures: blood test: samples to check anaemia and iron. no follow-up attempts are possible. no further information expected. follow-up (28feb2022): follow-up attempts are completed. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200293907 same patient and suspect drug, different events

Lab Data
test name: blood samples; result unstructured data: test result:samples to check anaemia and iron
List of symptoms
covid-19 blood 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