VAERS ID: 2315240

AGE: 68| SEX: F|STATE: (United States)

Description

COVID-19; COVID-19; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 68-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 09Jan2021 at 15:00 as dose 1, single (Lot number: EN9581), in left arm, on 02Mar2021 at 10:30 as dose 2, single (Lot number: EL3261), in left arm, on 30Sep2021 at 10:00 as dose 3 (booster), single (Lot number: 301485A), in left arm and on 13Apr2022 at 13:00 as dose 4 (booster), single (Lot number: FJ4991) at the age of 68 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 27May2022 at 06:00, outcome "recovering" and all described as "COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Unknown results. Therapeutic measures were taken with Paxlovid as a result of drug ineffective, covid-19. Patient not have any known allergy. Patient did not received any other medication in 2 weeks. Patient taking treatment with Paxlovid from 21May2022 to 25May2022. No follow-up attempts are possible. No further information is expected.

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Symptoms

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

Vaccines

VAX DATE: 04-13-2022| ONSET DATE: 05-27-2022| DAYS TO ONSET: 44
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 4 COVID19 PFIZER\BIONTECH Fj4991 LA

RECVDATE:06-10-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Name: Covid Test; Result Unstructured Data: Test Result:Unknown results
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other medical history: No
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200806006
FORM_VERS:
TODAYS_DATE:06-09-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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