Received Apr 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | LM2224 | — |
tested positive for Covid; tested positive for Covid; This is a spontaneous report received from a Consumer or other non HCP. A 66-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 13Nov2024 as dose 1, single (Lot number: LM2224) at the age of 66 years for covid-19 immunisation. The patient's relevant medical history included: "allergies" (unspecified if ongoing), notes: Always gets allergies and, sinuses always flare up in spring; "high blood pressure" (unspecified if ongoing). Concomitant medication(s) included: LISINOPRIL taken for hypertension, start date: 2015 (ongoing). Vaccination history included: BNT162b2 (DOSE 1, SINGLE, Mfg number, NDC: 59267-1000-02, EXP: 30Jun2021, LOT: unknown, Both vaccines in left arm), administration date: 18Mar2021, for Covid-19 immunization; BNT162b2 (DOSE 2, SINGLE, NDC, LOT, EXP: Thinks it is all same as first dose, both listed under same category, the 2 doses. , Both vaccines in left arm), administration date: 08Apr2021, for Covid-19 immunization; BNT162b2 (DOSE 3, SINGLE, NDC: 59267-1000-02, EXP: 31Jul2021, Pfizer LOT: FJ1611 or CJ1611, left arm, Everything given in left arm), administration date: 04Jan2022, for Covid-19 immunization; pfizer omicron (DOSE 4, SINGLE, LOT: GJ2524, NDC, EXP: Unknown, This dose originally provided as fifth dose, later clarified, it was fourth dose.), administration date: 04Oct2022, for Covid-19 immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 07Apr2025, outcome "unknown" and all described as "tested positive for Covid". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (07Apr2025) Positive.
Medical History/Concurrent Conditions: Allergy (Always gets allergies and, sinuses always flare up in spring); Blood pressure high
LISINOPRIL
Test Date: 20250407; Test Name: Covid test; Test Result: Positive