Adverse Event Reporting
| VAERS ID | 2023836 |
|---|---|
| Gender | Male |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 1 |
| Vaccinated | |
| Onset | 2021-11-25 |
| Condition |
Symptoms
- COVID-19
- Drug ineffective
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Vaccination failure; Vaccination failure; This is a spontaneous report received from a contactable reporter(s) (Other HCP) from the Regulatory Authority.
The Regulatory Authority number PT-INFARMED-T202112-2608.
A 25 year-old male patient received bnt162b2 (COMIRNATY), intramuscular, administration date 16Aug2021 (Lot number: FE4728) as dose 2, 0.
3 ml single, and (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
The following information was reported DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 25Nov2021, outcome recovering.
Therapeutic measures were taken as a result of drug ineffective, covid-19.
Treatment of adverse reaction with unknown.
No follow-up attempts are possible, information about lot/batch number cannot be obtained.
No further information is expected.