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VAERS Report 2157017

Case Report Section

Vaer Report Details

Age: NA

Gender: Female

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
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

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. the reporter is the patient. a 28 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 16jan2022 (lot number: fn5254) as dose 3 (booster), single, (batch/lot number: unknown) as dose 1, single and (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. the patient had no relevant medical history. the patient's concomitant medications were not reported. the following information was reported: covid-19 (disability, medically significant) with onset 11feb2022, outcome "recovered" (18feb2022), described as "sars-cov-2 infection"; drug ineffective (disability, medically significant), outcome "unknown", described as "drug ineffective". the events "sars-cov-2 infection" and "drug ineffective" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (11feb2022) positive, notes: yes - positive covid-19 test. clinical course patient was not currently breastfeeding. patient stated that the day after she had her vaccine she started with a very concentrated ache on the left side of her chest. over the past month it was getting more prominent and she was now getting shooting pains. patient was not enrolled in clinical trial she said she had seen her gp who had listen to her heart and checked vitals. 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-202200315385 same patient different dose different event

Lab Data
test date: 20220211; test name: covid-19 virus test; result unstructured data: test result:positive; comments: yes - positive covid-19 test
List of symptoms
drug ineffective covid-19 sars-cov-2 test
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?
Yes
Allergies:
na
Current Illness
na