Page breadcrumb nav

VAERS Report 2156593

Case Report Section

Détails du rapport Vaer

Âge: 40 ans

Genre: Male

Région : Outside US

Patient décédé?
Renseignements sur les vaccins


Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown

Date de réception du rapport
Date à laquelle le formulaire est complèté
Date de vaccination
Date d’apparition
Nombre de jours (date d’apparition – date de vaccination)
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?
Date de décès
Anomalie congénitale
Vaccin administré par :
Vaccin acheté par :
Visite d’un patient à l’urgence?
Patient hospitalisé?
Séjour à l’hôpital
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Maladie actuelle
hay fever