VAERS ID: 2315255

AGE: | SEX: M|STATE:

Description

COVID infection; COVID infection; This is a spontaneous report received from non-contactable reporter(s) (Consumer or other non HCP). 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), all intramuscular for COVID-19 immunisation. The patient's relevant medical history included: "Asthma" (unspecified if ongoing). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. It was unknown whether the patient received any other vaccine within 4 weeks prior to the vaccine. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset May2022, outcome "recovered" and all described as "COVID infection". The patient underwent the following laboratory tests and procedures: COVID-19 PCR test (nasal swab) in May2021, which was positive. It was unknown if therapeutic measures were taken as a result of drug ineffective and 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: 05-01-2022| DAYS TO ONSET: 181
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: 202205; Test Name: COVID-19 PCR Nasal Swab; Test Result: Positive
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Asthma
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200809566
FORM_VERS:2
TODAYS_DATE:06-08-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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