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
- 2021-11-01
- Date d’apparition
- 63
- Nombre de jours (date d’apparition – date de vaccination)
- 63
- Description de l’événement indésirable
-
sars-cov-2 infection; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra. a female patient received bnt162b2 (comirnaty), administration date nov2021 (batch/lot number: unknown) as dose 3 (booster), single, administration date apr2021 (batch/lot number: unknown) as dose 2, single and administration date jan2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. it was reported that patient has not had symptoms associated with covid-19. the following information was reported: drug ineffective (medically significant) with onset 03jan2022, outcome "unknown", suspected covid-19 (medically significant) with onset 03jan2022, outcome "recovered" (05jan2022) and all described as "sars-cov-2 infection". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative, notes: no - negative covid-19 test. patient was not enrolled in clinical trial. the report does not relate to possible inflammation of the heart (myocarditis or pericarditis). 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-202200298677 same patient/product/ reporter, different dose number/ event
- Données de laboratoire
-
test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test
- Liste des symptômes
-
drug ineffective sars-cov-2 test suspected covid-19
- 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