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VAERS Report 2156673

Case Report Section

Détails du rapport Vaer

Âge: N/A

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
2021-12-31
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

shoulder pain; viral infection; fatigue/unusual tiredness; chest pain; racing heart (tachycardia); pericarditis; patient received primary vaccination of astrazeneca and booster o bnt162b2; patient received primary vaccination of astrazeneca and booster o bnt162b2; heart palpitations; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from a regulatory authority (uk-mhra). regulatory number: gb-mhra-webcovid-202202071434072770-zlacd. other case identifier(s): gb-mhra-adr 26569952. a 51 year-old male patient received bnt162b2 (comirnaty), administration date 31dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient had no relevant medical history. concomitant medication(s) included: aspirin (e.c.). vaccination history included: covid-19 vaccine astrazeneca (dose 1), administration date: 08apr2021, for covid-19 vaccination; covid-19 vaccine astrazeneca (dose 2), administration date: 23jun2021, for covid-19 vaccination. patient has not tested positive for covid-19 since having the vaccine. the following information was reported: off label use (hospitalization, medically significant), interchange of vaccine products (hospitalization, medically significant) all with onset 31dec2021, outcome "unknown" and all described as "patient received primary vaccination of astrazeneca and booster o bnt162b2"; arthralgia (hospitalization, medically significant), outcome "recovering", described as "shoulder pain"; viral infection (hospitalization, medically significant), outcome "recovering", described as "viral infection"; pericarditis (hospitalization, medically significant) with onset 23jan2022, outcome "recovering", described as "pericarditis"; fatigue (hospitalization, medically significant), outcome "recovering", described as "fatigue/unusual tiredness"; chest pain (hospitalization, medically significant), outcome "recovering", described as "chest pain"; palpitations (hospitalization, medically significant), outcome "recovering", described as "heart palpitations"; tachycardia (hospitalization, medically significant), outcome "recovering", described as "racing heart (tachycardia)". the events "shoulder pain", "viral infection", "pericarditis", "fatigue/unusual tiredness", "chest pain", "heart palpitations" and "racing heart (tachycardia)" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: angiogram: (unspecified date) no affect on heart or arteries.; cardiac monitoring: (unspecified date) all clear.; echocardiogram: (unspecified date) unknown results; electrocardiogram: (unspecified date) all clear.; sars-cov-2 test: (02jul2021) yes - positive covid-19 test; scan: (unspecified date) heart - all clear.; troponin: (unspecified date) raised.; x-ray: (unspecified date) unknown results. therapeutic measures were taken as a result of arthralgia, viral infection, pericarditis, fatigue, chest pain, palpitations, tachycardia. clinical course: initially incident of palpitations over a 10 minute period. thought it was indigestion however shoulder pain occurred around a day later so checked into hospital. angiogram carried out and no affect on heart or arteries. patient stay in hospital for 2 days/ nights and diagnosis or any specific details of the diagnosis given by cardiologist. consultant advised a viral infection causing pericarditis and prescribed suitable anti inflammatory medication and blood pressure, collestoral tablets, aspirin. paracetamol. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: angiogram; result unstructured data: test result:no affect on heart or arteries.; test name: cardiac monitoring; result unstructured data: test result:all clear.; test name: echocardiogram; result unstructured data: test result:unknown results; test name: ecg; result unstructured data: test result:all clear.; test date: 20210702; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test; test name: scan; result unstructured data: test result:heart - all clear.; test name: troponin; result unstructured data: test result:raised.; test name: x-ray; result unstructured data: test result:unknown results
Liste des symptômes
fatigue arthralgia chest pain pericarditis viral infection tachycardia palpitations interchange of vaccine products scan electrocardiogram sars-cov-2 test echocardiogram x-ray angiogram troponin off label use cardiac monitoring
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na