Détails du rapport Vaer
Âge: 45 ans
Genre: Female
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (PFIZER-BIONTECH))
Type : Coronavirus 2019 vaccine
Fabricant: PFIZER
Lot: fk0596
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-11-09
- Date d’apparition
- 52
- Nombre de jours (date d’apparition – date de vaccination)
- 52
- Description de l’événement indésirable
-
drug ineffective; covid-19; this is a spontaneous report received from a contactable consumer or other non hcp. the reporter is the patient. a 46 year-old female patient received bnt162b2 (comirnaty), administered in arm right, administration date 09nov2021 (lot number: fk0596) at the age of 45 years as dose 3 (booster), single, administration date 05may2021 (lot number: er7934) as dose 2, single and administration date 24feb2021 (lot number: er1741) as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication included: shingrix taken for immunisation, administration date 02nov2021. the following information was reported: drug ineffective (medically significant) with onset 31dec2021, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 31dec2021, outcome "unknown", described as "covid-19". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (31dec2021) positive, notes: nasal swab.; sender's comments: linked report(s) : gb-pfizer inc-202200232861 same patient/drug, different dose/event;gb-pfizer inc-202200217749 same patient/product, different dose/event
- Données de laboratoire
-
test date: 20211231; test name: covid lateral flow test; test result: positive ; comments: nasal swab
- 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