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VAERS Report 2157428

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: fg3739


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-06
Date d’apparition
83
Nombre de jours (date d’apparition – date de vaccination)
83
Description de l’événement indésirable

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

Données de laboratoire
test name: blood samples; result unstructured data: test result:samples to check anaemia and iron
Liste des symptômes
covid-19 blood test vaccination failure
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