Détails du rapport Vaer
Âge: N/A
Genre: Male
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fe3380
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-05-13
- Date d’apparition
- 281
- Nombre de jours (date d’apparition – date de vaccination)
- 281
- Description de l’événement indésirable
-
drug ineffective; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority and product quality group. a 50-year-old male patient received bnt162b2 (bnt162b2), administration date 13may2021 (lot number: fe3380) 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 (medically significant) with onset 18feb2022, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 18feb2022, outcome "recovering", described as "sars-cov-2 infection". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: positive, notes: yes - positive covid-19 test. clinical course: it was unsure if patient had symptoms associated with covid-19. patient is not enrolled in clinical trial. the report of the patient was not related to possible inflammation of the heart (myocarditis or pericarditis). no follow-up attempts are possible. no further information is expected
- Données de laboratoire
-
test name: covid-19 virus test; test result: positive ; comments: 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