VAERS ID: 2331230

AGE: | SEX: F|STATE: FR

Description

Shoulder injury; SARS-CoV-2 infection/Drug ineffective; SARS-CoV-2 infection; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the Regulatory Authority. Regulatory number: GB-MHRA-WEBCOVID-202206192255468960-VRCJP (RA). Other Case identifier(s): GB-MHRA-ADR 27027576 (RA). A 52-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 11Jun2021 as dose 1, single (Lot number: EW3143) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Patient has not had symptoms associated with COVID-19. Patient was not pregnant at the time of vaccination. Patient was not breastfeeding at the time of this report. Patient was not enrolled in clinical trial. The following information was reported: COVID-19 (medically significant) with onset 06Oct2021, outcome "recovered", described as "SARS-CoV-2 infection"; DRUG INEFFECTIVE (medically significant) with onset 06Oct2021, outcome "recovered", described as "SARS-CoV-2 infection/Drug ineffective"; LIMB INJURY (medically significant), outcome "recovering", described as "Shoulder injury". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (06Oct2021) Positive, notes: Yes - Positive COVID-19 test. No follow-up attempts are possible. No further information is expected.

Symptoms

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

Vaccines

VAX DATE: 06-11-2021| ONSET DATE: 10-06-2021| DAYS TO ONSET: 117
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EW3143 Unknown Unknown

RECVDATE:06-24-2022
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: 20211006; Test Name: COVID-19 virus test; Test Result: Positive ; Comments: Yes - Positive COVID-19 test
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:GBPFIZER INC202200854252
FORM_VERS:2
TODAYS_DATE:06-23-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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