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VAERS Report 2157003

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
2021-08-01
Date of Onset
145
Number of days (onset date – vaccination date)
145
Adverse Event Description

sars-cov-2 infection; sars-cov-2 infection; suspected covid-19; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. the reporter is the patient. a 33 year-old male patient received bnt162b2 (comirnaty, solution for injection), via an unspecified route of administration administration date 01aug2021 (batch/lot number: unknown) as dose 2, single and administration date 06jun2021 (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 with onset 24dec2021, outcome "unknown", covid-19 with onset 24dec2021, outcome "recovered" (03jan2022) and all described as "sars-cov-2 infection"; suspected covid-19 with onset 24dec2021, outcome "unknown", described as "suspected covid-19". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (25dec2021) positive, notes: yes - positive covid-19 test. additional information: had intense burning sensation all over my body and was sweating but started in the chest which came on very suddenly. i was kneeling at the time and it came on when i stood up. it was late at night maybe around 11pm. patient is not enrolled in clinical trial. patient's report related to possible inflammation of the heart (myocarditis or pericarditis). details of any relevant investigations or tests conducted: "none - never reported it". did the symptoms lead to a hospital stay?: "no". was a diagnosis made by a medical professional?: "no" 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-202200319207 same patient, same product, different dose and different events;gb-pfizer inc-202200298976 same patient, same product, different dose and different events

Lab Data
test date: 20211225; test name: covid-19 virus test; test result: positive ; comments: yes - positive covid-19 test
List of symptoms
drug ineffective covid-19 sars-cov-2 test suspected 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