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VAERS Report 2157114

Case Report Section

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: f06840


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-07-03
Date d’apparition
122
Nombre de jours (date d’apparition – date de vaccination)
122
Description de l’événement indésirable

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

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