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VAERS Report 2156694

Case Report Section

Détails du rapport Vaer

Âge: N/A

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

fever; headache; fatigue/unusual tiredness; fever; shortness of breath; soaking with sweat; could hardly move; felt terrible; heartbeats skipped; pain in my heart; off label use; interchange of vaccine products; this is a spontaneous report received from a contactable reporter (consumer or other non hcp) from the regulatory agency (ra). the reporter is the patient. regulatory number: gb-mhra-webcovid-202202132043246140-chplp (ra). other case identifier(s): gb-mhra-adr 26621534 (ra). a 69-year-old male patient received bnt162b2 (comirnaty), administration date 12dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "asthma" (unspecified if ongoing); "suspected covid-19/covid symptoms", start date: dec2019 (unspecified if ongoing), notes: unsure when symptoms stopped; "steroid therapy" (unspecified if ongoing), notes: taking regular steroid treatment (e.g. orally or rectally). patient has not had a covid-19 test. patient was not enrolled in clinical trial. the patient's concomitant medications were not reported. past drug history included: seretide for asthma prophylaxis. vaccination history included: covid-19 vaccine astrazeneca (dose 1), for covid-19 immunization; covid-19 vaccine astrazeneca (dose 2), for covid-19 immunization. the following information was reported: off label use (medically significant) with onset 12dec2021, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 12dec2021, outcome "unknown", described as "interchange of vaccine products"; angina pectoris (medically significant) with onset 14dec2021, outcome "recovered", described as "pain in my heart"; pyrexia (non-serious), outcome "recovered", headache (non-serious), outcome "recovered" and all described as "headache"; extrasystoles (non-serious) with onset 14dec2021, outcome "recovered" (15dec2021), described as "heartbeats skipped"; fatigue (non-serious), outcome "unknown", described as "fatigue/unusual tiredness"; pyrexia (non-serious), outcome "unknown", described as "fever"; dyspnoea (non-serious), outcome "unknown", described as "shortness of breath"; hyperhidrosis (non-serious) with onset 14dec2021, outcome "recovered", described as "soaking with sweat"; movement disorder (non-serious) with onset 14dec2021, outcome "recovered", described as "could hardly move"; feeling abnormal (non-serious) with onset 14dec2021, outcome "recovered", described as "felt terrible". clinical course: patient stated, "woke up on 14th soaking with sweat and could hardly move until i did some stretches. 2 hours later took the dog a walk, felt terrible. after short distance i had a pain in my heart and had to sit down. on way back to car had a feeling like my heart skipped a beat a few times. got home, rested for a couple of hours and felt better. did not train for 9 days as didn't feel 100%". additional information: patient has not tested positive for covid-19 since having the vaccine. it mentioned that the report was related to possible inflammation of the heart (myocarditis or pericarditis). the symptoms didn't lead to a hospital stay. the diagnosis was not made by a medical professional. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
Liste des symptômes
hyperhidrosis fatigue feeling abnormal angina pectoris headache movement disorder dyspnoea pyrexia extrasystoles interchange of vaccine products off label use
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