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VAERS Report 2157114

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: f06840


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-07-03
Date of Onset
122
Number of days (onset date – vaccination date)
122
Adverse Event Description

i got covid-19. 02nov2021. i had mild symptoms.; i got covid-19. 02nov2021. i had mild symptoms.; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web and health authority. the reporter is the patient. a 46 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 03jul2021 (lot number: f06840) as dose 2, 0.3 ml single and intramuscular, administration date 29may2021 (lot number: fc8736) as dose 1, 0.3 ml single for covid-19 immunisation. relevant medical history included: "intra-uterine contraceptive device insertion" (not ongoing), notes: she had a insertion mirena spiral. concomitant medication(s) included: mirena taken for intrauterine contraception. the following information was reported: drug ineffective (medically significant), outcome "unknown", suspected covid-19 (medically significant) with onset 02nov2021, outcome "unknown" and all described as "i got covid-19. 02nov2021. i had mild symptoms.". therapeutic measures were taken as a result of drug ineffective, suspected covid-19. no follow-up attempts are needed. no further information is expected

Lab Data
na
List of symptoms
drug ineffective 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