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VAERS Report 2156593

Case Report Section

Détails du rapport Vaer

Âge: 40 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-04
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

chest discomfort; "pulling" sensation in the left lung near armpit; irregular heart beat; woke me from sleep; heart rate/elevated heart rate; palpitations; migraine/migraines throughout the following day; vomiting/violent vomiting episode; abdominal pain upper/intense stomach cramps; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). the reporter is the patient. other case identifier(s): gb-mhra-vac-202202121950119860-zmlo2 (ra), gb-mhra-adr 26598115 (ra). a 40 year-old male patient received bnt162b2 (comirnaty), administration date 04feb2022 (batch/lot number: unknown) at the age of 40 years as dose 2, single for covid-19 immunisation. relevant medical history included: "seasonal allergy" (ongoing). the patient's concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1; manufacturer unknown), for covid-19 immunisation. the following information was reported: vomiting (medically significant) with onset 04feb2022, outcome "recovered" (04feb2022), described as "vomiting/violent vomiting episode"; heart rate increased (medically significant) with onset 07feb2022, outcome "not recovered", described as "heart rate/elevated heart rate"; abdominal pain upper (medically significant) with onset 04feb2022, outcome "unknown", described as "abdominal pain upper/intense stomach cramps"; migraine (medically significant) with onset 05feb2022, outcome "unknown", described as "migraine/migraines throughout the following day"; palpitations (medically significant) with onset 07feb2022, outcome "unknown", described as "palpitations"; chest discomfort (medically significant), outcome "unknown", described as "chest discomfort"; sleep disorder (medically significant) with onset 07feb2022, outcome "unknown", described as "woke me from sleep"; lung disorder (medically significant) with onset 09feb2022, outcome "unknown", described as ""pulling" sensation in the left lung near armpit"; heart rate irregular (medically significant) with onset 09feb2022, outcome "unknown", described as "irregular heart beat". the patient underwent the following laboratory tests and procedures: heart rate: (07feb2022) increased. clinical course: intense stomach cramps around 8 hours after second vaccine which led to violent vomiting episode. migraines throughout the following day. 3 days after the vaccination, elevated heart rate and palpitations woke patient from sleep. 5 days after vaccination, heart palpitations and irregular heart beat woke patient from sleep with an additional "pulling" sensation in the left lung near armpit. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20220207; test name: heart rate; result unstructured data: test result:increased
Liste des symptômes
vomiting chest discomfort lung disorder palpitations heart rate increased abdominal pain upper migraine sleep disorder heart rate irregular heart rate
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
hay fever