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: unknown
Nom: COVID19 (COVID19 (UNKNOWN))
Type : Coronavirus 2019 vaccine
Fabricant: UNKNOWN
Lot: unknown
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-05-28
- Date d’apparition
- 219
- Nombre de jours (date d’apparition – date de vaccination)
- 219
- Description de l’événement indésirable
-
sars-cov-2 infection; sars-cov-2 infection; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. the reporter is the patient. a 35 year-old female patient received bnt162b2 (bnt162b2), administration date 28may2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation; covid-19 vaccine (covid-19 vaccine) (batch/lot number: unknown) 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), covid-19 (medically significant) all with onset 02jan2022, outcome "recovered" (26jan2022) and all 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 last menstrual period date: 01feb2022. patient was not enrolled in clinical trial. the patient had covid in january. adverse reaction did not occur as a result of an exposure during pregnancy. case reported as serious by health authority (other medically important condition). 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-202200204808 same reporter/patient/vaccine, different dose/events
- Données de laboratoire
-
test name: covid-19 virus test; result unstructured data: test result:no - negative 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