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VAERS Report 2157421

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-26
Date d’apparition
16
Nombre de jours (date d’apparition – date de vaccination)
16
Description de l’événement indésirable

drug ineffective; symptomatic contagion from sars cov 2 in subjects undergoing a full cycle plus booster dose; this is a spontaneous report received from a contactable reporter(s) (physician). the reporter is the patient. a male patient received bnt162b2 (comirnaty), administration date 26jan2022 (batch/lot number: unknown) as dose 3 (booster), single, administration date 27sep2021 (batch/lot number: unknown) as dose 2, single and administration date 25jan2021 (batch/lot number: unknown) as dose 1, 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) with onset 11feb2022, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 11feb2022, outcome "unknown", described as "symptomatic contagion from sars cov 2 in subjects undergoing a full cycle plus booster dose". the lot number for bnt162b2 was not provided and will be requested during follow up.; sender's comments: based on the information in the case report, a possible causal relationship between the events and suspect drug bnt162b2 cannot be excluded.,linked report(s) : it-pfizer inc-202200350651 same reporter, patient and suspect vaccine, different suspect dose and ae

Données de laboratoire
na
Liste des symptômes
drug ineffective 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