VAERS ID: 2315245

AGE: 36| SEX: F|STATE: MA

Description

COVID-19; COVID-19; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 36-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 23Apr2021 as dose 1, single (Lot number: EW0170), in left arm, on 15May2021 as dose 2, single (Lot number: EW0183), in left arm and on 29Dec2021 as dose 3 (booster), single (Lot number: FJ1611) at the age of 36 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Graves Disease" (unspecified if ongoing), notes: Graves Disease with active hyperthyroidism; "hyperthyroidism" (unspecified if ongoing), notes: Graves Disease with active hyperthyroidism. Concomitant medication(s) included: METHIMAZOLE, start date: 06Oct2021; CITALOPRAM, start date: 01Dec2021; GUANFACINE, start date: 01Dec2021. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 29May2022, outcome "not recovered" and all described as "COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (29May2022) Positive, notes: symptoms were nearly gone but covid test was positive (very pale pink); (31May2022) Positive, notes: symptoms came back fully and tested positive (solid pink). Therapeutic measures were taken as a result of vaccination failure, covid-19. Addition information: Treatment start date was 24May2022. Treatment stop date was 29May2022. Known allergies was no.

Symptoms

COVID-19, SARS-CoV-2 test, Vaccination failure

Vaccines

VAX DATE: 12-29-2021| ONSET DATE: 05-29-2022| DAYS TO ONSET: 151
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH FJ1611 Unknown LA

RECVDATE:06-10-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20220529; Test Name: COVID-19 Test; Test Result: Positive ; Comments: symptoms were nearly gone but covid test was positive (very pale pink).; Test Date: 20220531; Test Name: COVID-19 Test; Test Result: Positive ; Comments: symptoms came back fully and tested positive (solid pink).
V_ADMINBY:
OTHER_MEDS:METHIMAZOLE; CITALOPRAM; GUANFACINE
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Graves' disease (Graves Disease with active hyperthyroidism); Hyperthyroidism (Graves Disease with active hyperthyroidism)
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200806816
FORM_VERS:2
TODAYS_DATE:06-09-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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