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VAERS Report 2157427

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
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

symptomatic sars cov 2 infection in a booster subject; symptomatic sars cov 2 infection in a booster subject; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp). the reporter is the patient. a 76 year-old male patient received bnt162b2 (comirnaty) (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "diabetes" (unspecified if ongoing), notes: in good multidrug control. the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single), for covid-19 immunization; comirnaty (dose 2, single), for covid-19 immunization. the following information was reported: suspected covid-19 (medically significant), drug ineffective (medically significant), outcome "recovering" and all described as "symptomatic sars cov 2 infection in a booster subject. the lot number for bnt162b2 was not provided and will be requested during follow up. clinical course: symptoms: cold sore hoarseness, not fever, in apparent rapid resolution

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