Détails du rapport Vaer
Région : Outside US
- Patient décédé?
- Renseignements sur les vaccins
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
- Date de réception du rapport
- Date à laquelle le formulaire est complèté
- Date de vaccination
- Date d’apparition
- Nombre de jours (date d’apparition – date de vaccination)
- Description de l’événement indésirable
positive covid lateral flow test; positive covid lateral flow test; this is a spontaneous report received from contactable reporter(s) (consumer or other non hcp) from a sales representative. the reporter is the patient. a 22 year-old patient received bnt162b2 (comirnaty), intramuscular, administered in arm, administration date 23aug2021 10:40 (lot number: fe3380) as dose 2, single and intramuscular, administered in arm, administration date 28jun2021 10:30 (lot number: fc8289) as dose 1, single for covid-19 immunisation. the patient had no relevant medical history. there were no concomitant medications. the following information was reported: drug ineffective (medically significant), covid-19 (medically significant), outcome "unknown" and all described as "positive covid lateral flow test". the patient underwent the following laboratory tests and procedures: antibody test: unknown results, notes: antibody test to platelet factor iv; sars-cov-2 test: positive, notes: positive covid lateral flow test. clinical course: positive covid lateral flow test and covid symptoms (cold, headache, fatigue) in patient who has had pfizer covid vaccine. optional information: last pfizer covid vaccine was administered 6 months before positive test and patient has had booster jab from different company in the meantime. the patient took no prior vaccinations (within 4 weeks) and specific relevant test for thromboembolic events with thrombocytopenia was none. follow-up (21feb2022): this is a spontaneous follow-up report from a contactable consumer. this consumer reported in response to the non-hcp letter sent that included: updated information: reporter detail (slider#01) was updated. patient age was added. relevant medical history and concomitant medications details were updated. suspect product details (dose 1 and dose 2) were updated. lab tests were added, and narrative updated accordingly. no follow-up attempts are possible. no further information is expected
- Données de laboratoire
test name: antibody test; result unstructured data: test result:unknown results; comments: antibody test to platelet factor iv; test name: lateral flow test; test result: positive ; comments: positive covid lateral flow test
- Liste des symptômes
drug ineffective covid-19 sars-cov-2 test antibody test
- Patient décédé?
- Date de décès
- Anomalie congénitale
- Vaccin administré par :
- Vaccin acheté par :
- Visite d’un patient à l’urgence?
- Patient hospitalisé?
- Séjour à l’hôpital
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Maladie actuelle