Page breadcrumb nav

VAERS Report 2157011

Case Report Section

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