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: fg3739
- Date report was received
- 2022-03-04
- Date form completed
- Date Vaccinated
- 2021-11-06
- Date of Onset
- 83
- Number of days (onset date – vaccination date)
- 83
- Adverse Event Description
-
covid occurred in conjunction with the bleeding, around 28jan2022; covid occurred in conjunction with the bleeding, around 28jan; this is a spontaneous report received from a contactable reporter(s) (other hcp) from the regulatory authority-web and product quality group. a 43 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm right, administration date 06nov2021 17:15 (lot number: fg3739) as dose 3 (booster), single, intramuscular, administered in deltoid left, administration date 13mar2021 11:24 (lot number: et1831) as dose 2, single and intramuscular, administered in deltoid left, administration date 20feb2021 10:29 (lot number: ep9598) as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication(s) included: achillea; alchemilla spp.; melatonin; broncho vaxom adult. the following information was reported: vaccination failure (medically significant) with onset 28jan2022, outcome "unknown", described as "covid occurred in conjunction with the bleeding, around 28jan2022"; covid-19 (medically significant) with onset 28jan2022, outcome "unknown", described as "covid occurred in conjunction with the bleeding, around 28jan". the patient underwent the following laboratory tests and procedures: blood test: samples to check anaemia and iron. no follow-up attempts are possible. no further information expected. follow-up (28feb2022): follow-up attempts are completed. no further information is expected.; sender's comments: linked report(s) : it-pfizer inc-202200293907 same patient and suspect drug, different events
- Lab Data
-
test name: blood samples; result unstructured data: test result:samples to check anaemia and iron
- List of symptoms
-
covid-19 blood test vaccination failure
- 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