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VAERS Report 2157020

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: fk0596


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-11-11
Date of Onset
103
Number of days (onset date – vaccination date)
103
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 (ra) and product quality group. the reporter is the patient. a 61 year-old female patient received bnt162b2 (comirnaty), administration date 11nov2021 (lot number: fk0596) as dose 3 (booster), single for covid-19 immunisation; covid-19 vaccine nrvv ad (chadox1 ncov-19) (covid-19 vaccine astrazeneca), administration date 07may2021 (batch/lot number: unknown) as dose 1 and administration date 13feb2021 (batch/lot number: unknown) as dose 2. relevant medical history included: "severe asthma attack", start date: nov2020 (unspecified if ongoing), notes: requiring hospitalisation nearly went to icu and were sure it was not covid but i thought it must be; "steroid therapy" (unspecified if ongoing), notes: taking regular steroid treatment (e.g. orally or rectally). take regular steroid inhalers and creams and occasional courses of steroid tablets; "immunodeficiency" (unspecified if ongoing), notes: taking other treatments or medicines, not listed above, known to lower the immune response; "asthma" (unspecified if ongoing). concomitant medication(s) included: influenza virus, administration date nov2021. past drug history included: methotrexate for fungal skin infection. the following information was reported: drug ineffective (medically significant) with onset 22feb2022, outcome "not recovered", described as "drug ineffective"; suspected covid-19 (medically significant) with onset 22feb2022, outcome "not recovered", described as "sars-cov-2 infection". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: no - negative covid-19 test. additional information: patient had not had symptoms associated with covid-19 and was not enrolled in clinical trial. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200323366 same patient, same product, different dose/events

Lab Data
test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test
List of symptoms
drug ineffective 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