Report #2865564

Received Oct 13, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 80 yrs
State: FL
Recovered: Unknown
Vaccinated: Dec 22, 2021
Onset: Jan 1, 2022
Days to onset: 10
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	GH9702	—

Symptoms (2)

COVID-19Drug ineffective

Symptom narrative

she got Omicron 3 weeks after receiving that dose; she got Omicron 3 weeks after receiving that dose; This is a spontaneous report received from a Consumer or other non HCP. An 84-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 22Dec2021 as dose 4, (booster) single (Lot number: GH9702) at the age of 80 years for covid-19 immunisation; BNT162b2 (BNT162B2), on 06Mar2021 as dose 1, single (Lot number: EN6199), on 27Mar2021 as dose 2, single (Lot number: EP7534) and on 28Oct2021 as dose 3, (booster) single (Lot number: FF2593) 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 Jan2022, outcome "unknown" and all described as "she got Omicron 3 weeks after receiving that dose".