VAERS ID: 2315247

AGE: 53| SEX: F|STATE: CT

Description

Tested positive; Tested positive; This is a spontaneous report received from contactable reporter (Consumer). The reporter is the patient. A 54-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 05Apr2021 as dose 1, single (Lot number: ER8732), in left arm, on 26Apr2021 as dose 2, single (Lot number: GR8731), in left arm and on 05Nov2021 as dose 3 (boosster), single (Lot number: 320308D) at the age of 53 years, in left arm for covid-19 immunisation; coviD-19 vaccine mrna (mrna 1273) (MODERNA COVID-19 VACCINE), on 24Apr2022 as dose 4 (booster), single (Lot number: 057M21A), in left arm for covid-19 immunisation. The patient's relevant medical history included: "known allergies: Sulfa". There were no concomitant medications. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 02May2022, outcome "recovered" (20May2022) and all described as "Tested positive". Patient became sick with Covid. Tested positive on 02May2022. Experienced symptoms before testing positive. Symptoms included fever, chills, vomiting, diarrhea, sore throat, cough, and then secondary infection which was treated with Azithromycin, albuterol, benzonatate. Strange thing was patient seemed to improve, tested negative for three days in May2022, and then her symptoms returned on 13May and she tested positive again for more than a week. Adverse event treatment included received Paxlovid then other meds after rebound.

Symptoms

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

Vaccines

VAX DATE: 11-05-2021| ONSET DATE: 05-02-2022| DAYS TO ONSET: 178
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH 320308D 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:Y
LAB_DATA:Test Name: Covid-19 test; Test Result: Positive ; Comments: I tested positive again for more than a week.; Test Date: 20220502; Test Name: Covid-19 test; Test Result: Positive ; Test Date: 202205; Test Name: Covid-19 test; Test Result: Negative ; Comments: tested negative for three days; Test Date: 202205; Test Name: Covid-19 test; Test Result: Negative ; Comments: tested negative for three days; Test Date: 202205; Test Name: Covid-19 test; Test Result: Negative ; Comments: tested negative for three days
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Sulfonamide allergy
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200807524
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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