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VAERS ID: 2265765

AGE: UNK| SEX: M|STATE: Unk

Description

positive test result on 03May2022 at 8pm rapid test; positive test result on 03May2022 at 8pm rapid test; fever; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). An 85-year-old male patient received BNT162b2 (BNT162B2), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown), on 21Oct2021 as dose 3 (booster), single (Batch/Lot number: unknown) and on 30Apr2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PYREXIA (non-serious) with onset 02May2022, outcome "unknown", described as "fever"; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 03May2022 at 20:00, outcome "unknown" and all described as "positive test result on 03May2022 at 8pm rapid test". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (03May2022) Positive. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.

Symptoms

COVID-19, Drug ineffective, Pyrexia, SARS-CoV-2 test

Vaccines

VAX DATE: | ONSET DATE: 01 May 2022 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2

RECVDATE:05 May 2022
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:Test Date: 20220503; Test Name: Rapid test; Test Result: Positive
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200659165
FORM_VERS:2
TODAYS_DATE:04 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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