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VAERS Report 2156760

Case Report Section

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