Adverse Event Reporting

VAERS ID	1506561
Gender	Female
Age
StateCode	FR
Pharmaceutical Company	PFIZER\BIONTECH
Lot Number
Number of vaccinations
Vaccinated
Onset	2021-07-08
Condition

Symptoms

• Anaphylactic reaction

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Anaphylactic reaction; This is a spontaneous report from a contactable Health Care Professional via the Regulatory Authority.
Regulatory authority report number is 582870.
A 40 years old female patient received BNT162B2 (COMIRNATY) at single dose, on an unspecified date, for COVID-19 immunisation.
Relevant medical history and concomitant medications were unknown.
On 08Jul2021, the patient experienced anaphylactic reaction.
The patient did not recover from the adverse event at time of this report.
No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected.