VAERS ID: 2315254

AGE: 11| SEX: M|STATE:

Description

COVID-19 infection Omicron variant; COVID-19 infection Omicron variant; This is a spontaneous report received from non-contactable consumer. An 11-year-old male patient received BNT162b2 (BNT162B2), on 06Nov2021 as dose 1, single (Batch/Lot number: unknown) and in Nov2021 as dose 2, single (Batch/Lot number: unknown) at the age of 11 years, all intramuscular 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) all with onset 27Dec2021, outcome "recovered" and all described as "COVID-19 infection Omicron variant". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (27Dec2021) Positive, notes: Omicron variant. Therapeutic measures were not taken as a result of drug ineffective, COVID-19. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received.

Symptoms

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

Vaccines

VAX DATE: 11-01-2021| ONSET DATE: 12-27-2021| DAYS TO ONSET: 56
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH OT 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:Y
LAB_DATA:Test Date: 20211227; Test Name: COVID-19 nasal swab home test; Test Result: Positive ; Comments: Omicron variant
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Asthma
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200809561
FORM_VERS:2
TODAYS_DATE:06-08-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.