VAERS ID: 2315257

AGE: 42| SEX: M|STATE: NY

Description

Tested positive for Covid on rapid test.; Tested positive for Covid on rapid test.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 42-year-old male patient received BNT162b2 (BNT162B2), on 08Mar2021 as dose 1, single (Lot number: EL3247), in left arm, on 29Mar2021 as dose 2, single (Lot number: EL3247), in left arm and on 27Nov2021 as dose 3 (booster), single (Lot number: FJ1620) at the age of 42 years, in left arm for covid-19 immunisation; influenza vaccine (FLU), on 27Nov2021 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history included: "no" (unspecified if ongoing), notes: Other Medical History: No, Known allergies: No. The patient's concomitant medications were not reported. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 07Jun2022 at 17:15, outcome "not recovered" and all described as "Tested positive for Covid on rapid test.". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (07Jun2022) Positive, notes: Nasal Swab Tested positive for Covid on rapid test. Therapeutic measures were not taken as a result of vaccination failure, covid-19. Clinical course: Reported as, the patient was not diagnosed with COVID-19 prior to vaccination. He had been tested for COVID-19 since the vaccination. He had taken other vaccine (Flu vaccine) in four weeks.

Symptoms

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

Vaccines

VAX DATE: 11-27-2021| ONSET DATE: 06-07-2022| DAYS TO ONSET: 192
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH FJ1620 Unknown LA
INFLUENZA (SEASONAL) (NO BRAND NAME) Unknown FLUX Unknown 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:N
LAB_DATA:Test Date: 20220607; Test Name: iHealth Rapid Test; Test Result: Positive ; Comments: Nasal Swab Tested positive for Covid on rapid test.
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none, Comment: Other Medical History: No Known allergies: No
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202200810465
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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