Détails du rapport Vaer
Âge: 65 ans
Genre: Female
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
- 2021-11-01
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
palpitations; ectopic heartbeat; ectopic heartbeat/ the booster exacerbated this; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority (ra). the reporter is the patient. regulatory number: gb-mhra-webcovid-202202161039391530-srkbd (ra). other case identifier(s): gb-mhra-adr 26609564 (ra). a 65 year-old female patient received bnt162b2 (comirnaty), administration date 01nov2021 (batch/lot number: unknown) at the age of 65 years as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "ectopic heartbeats" (unspecified if ongoing). concomitant medication(s) included: atorvastatin taken for blood cholesterol abnormal. patient has not had symptoms associated with covid-19. vaccination history included: bnt162b2 (dose 2, single), for covid-19 immunisation; bnt162b2 (dose 1, single), for covid-19 immunisation. the following information was reported: palpitations (medically significant) with onset 01nov2021, outcome "not recovered", described as "palpitations"; extrasystoles (medically significant) with onset 01nov2021, outcome "not recovered", described as "ectopic heartbeat"; condition aggravated (medically significant) with onset 01nov2021, outcome "not recovered", described as "ectopic heartbeat/ the booster exacerbated this". as soon as patient had the vaccine, she was aware of it in her body and had palpitations all day, still continuing although she was aware of it at times. patient had previously been diagnosed with an ectopic heartbeat and she believed that the booster exacerbated this. the patient underwent the following laboratory tests and procedures: blood test: unknown results; chest x-ray: unknown results; electrocardiogram: unknown results; sars-cov-2 test: negative. patient has not tested positive for covid-19 since having the vaccine. patient is not enrolled in clinical trial. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected
- Données de laboratoire
-
test name: blood tests; result unstructured data: test result:unknown results; test name: chest x-ray; result unstructured data: test result:unknown results; test name: ecg; result unstructured data: test result:unknown results; test name: covid-19 virus test; test result: negative
- Liste des symptômes
-
condition aggravated palpitations extrasystoles chest x-ray electrocardiogram sars-cov-2 test blood test
- 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
-
na