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: unknown
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-10-28
- Date d’apparition
- 111
- Nombre de jours (date d’apparition – date de vaccination)
- 111
- Description de l’événement indésirable
-
sars-cov-2 infection; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory authority (ra). a 74 year-old female patient received bnt162b2 (comirnaty), administration date 28oct2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation; covid-19 vaccine nrvv ad (chadox1 ncov-19) (covid-19 vaccine astrazeneca), administration date 22oct2021 (batch/lot number: unknown) as dose 2, single and administration date 18sep2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "immunodeficiency" (unspecified if ongoing), notes: taking other treatments or medicines, not listed above, known to lower the immune response and i... the patient's concomitant medications were not reported. the following information was reported: drug ineffective (medically significant) with onset 16feb2022, outcome "unknown", covid-19 (medically significant) with onset 16feb2022, outcome "not recovered" and all described as "sars-cov-2 infection". the event "sars-cov-2 infection" was evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (16feb2022) yes - positive covid-19 test. therapeutic measures were taken as a result of covid-19 which includes prescription medications. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200298618 same reporter, patient and product; different dose and event
- Données de laboratoire
-
test date: 20220216; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
- 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