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: fe1510
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-07-21
- Date d’apparition
- 168
- Nombre de jours (date d’apparition – date de vaccination)
- 168
- Description de l’événement indésirable
-
drug ineffective; covid-19; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra and product quality group. the reporter is the patient. a 34 year-old female patient received bnt162b2 (bnt162b2), administration date 02jun2021 (lot number: ew3143) as dose 1, single and administration date 21jul2021 (lot number: fe1510) as dose 2, 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 05jan2022, outcome "recovered" (17jan2022), described as "drug ineffective"; suspected covid-19 (medically significant) with onset 05jan2022, outcome "recovered" (17jan2022), described as "covid-19". additional information: patient last menstrual period date was reported as 21jan2022. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200333912 same patient/drug and different dose/events (dose 2);gb-pfizer inc-202200323270 same patient/drug and different dose/events (dose 1)
- Données de laboratoire
-
na
- Liste des symptômes
-
drug ineffective 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