VAERS ID: 2315253

AGE: 34| SEX: M|STATE: OH

Description

COVID 19; COVID 19; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 34-year-old male patient received BNT162b2 (BNT162B2), on 15Apr2021 as dose 1, single (Lot number: Ew0162), on 06May2021 as dose 2, single (Lot number: Ew0165) and on 13Dec2021 as dose 3 (booster), single (Lot number: Fj1611) at the age of 34 years for covid-19 immunisation. The patient's relevant medical history included: "Obesity" (unspecified if ongoing); "Sleep Apnea" (unspecified if ongoing); "Anxiety" (unspecified if ongoing); "Regalin with an intolerance to seafood" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID 19". Therapeutic measures were taken as a result of vaccination failure, covid-19. The patient started Paxlovid (lot Fy9918) on 04Jun2022 as COVID 19 treatment.

Symptoms

COVID-19, Vaccination failure

Vaccines

VAX DATE: 12-13-2021| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH Fj1611 Unknown Unknown

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:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Anxiety; Obesity; Seafood allergy; Sleep apnea
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200809417
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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