VAERS ID: 2315246

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

Description

Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 49-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 07Mar2021 as dose 1, single (Lot number: EN6202), in left arm, on 28Mar2021 as dose 2, single (Batch/Lot number: unknown), in left arm and on 27Oct2021 as dose 3 (booster), single (Lot number: FF2587), in left arm for covid-19 immunisation; coviD-19 vaccine mrna (mrna 1273) (MODERNA COVID-19 VACCINE), on 25Apr2022 as dose 4 (booster), single (Lot number: 057M21A), in left arm for covid-19 immunisation. The patient's relevant medical history included: "Asthma" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "not recovered" and all described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (02Jun2022) Negative, notes: my last negative test; (06Jun2022) Positive, notes: Tested positive on a home test. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: Patient had no known allergies. Patient was not received other medication in 2 weeks. Anti-viral details: product=COVID 19 Treatment, brand=Paxlovid, Treatment start date= 28May2022, Treatment stop date= 01Jun2022, Indication=Treatment of COVID-19. Relapse on 06Jun2022, 5 days after stopping Paxlovid, 4 days after her last negative test. Headache and runny nose. Tested positive on a home test. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.

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Symptoms

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

Vaccines

VAX DATE: 10-27-2021| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH FF2587 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 Date: 20220602; Test Name: COVID-19 Home Test; Test Result: Negative ; Comments: my last negative test.; Test Date: 20220606; Test Name: COVID-19 Home Test; Test Result: Positive ; Comments: Tested positive on a home test.
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Asthma
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200806909
FORM_VERS:
TODAYS_DATE:06-09-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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