Received Apr 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | — | — |
Covid after Pfizer Covid vaccines; Covid after Pfizer Covid vaccines; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 72-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "heart condition" (unspecified if ongoing); "pacemaker defibrillator" (unspecified if ongoing); "Heart attack" (unspecified if ongoing); "anemia" (unspecified if ongoing); "pylori infection" (unspecified if ongoing); "cholesterol control" (unspecified if ongoing); "COVID-19", start date: 2021 (unspecified if ongoing). Concomitant medication(s) included: ELIQUIS oral taken for myocardial infarction, start date: 2018 (ongoing); CLOPIDOGREL oral taken for anaemia, pyloric abscess, start date: 2015 (ongoing); ATORVASTATIN oral taken for blood cholesterol increased, start date: 2010 (ongoing). Past drug history included: Paxlovid for COVID-19 treatment. Vaccination history included: Comirnaty (DOSE 1), for COVID-19 immunization; Comirnaty (DOSE 2), for COVID-19 immunization; Comirnaty (DOSE NUMBER UNKNOWN (BOOSTER)), for COVID-19 immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 26Mar2025, outcome "unknown" and all described as "Covid after Pfizer Covid vaccines". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (26Mar2025) Positive. The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
Medical History/Concurrent Conditions: Anemia; Bacterial infection; Cardiac disorder NOS; Cholesterol high; COVID-19; Heart attack; Implantable defibrillator user
ELIQUIS; CLOPIDOGREL; ATORVASTATIN
Test Date: 20250326; Test Name: Covid; Test Result: Positive