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VAERS Report 2156774

Case Report Section

Détails du rapport Vaer

Âge: N/A

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
2021-12-18
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

fatigue/unusual tiredness; chest pain; shortness of breath; heart palpitations; racing heart (tachycardia); fainting; tingling down arms; vomiting; insomnia; migraine; migraine aura; primary immunisation: non-pfizer vaccine; booster: comirnaty; primary immunisation: non-pfizer vaccine; booster: comirnaty; possible inflammation of the heart (myocarditis or pericarditis); possible inflammation of the heart (myocarditis or pericarditis); this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202161436346250-epuj3 (ra). other case identifier(s): gb-mhra-adr 26610142 (ra). a 36 year-old female patient (not pregnant) received bnt162b2 (comirnaty), administration date 18dec2021 (batch/lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 2; manufacturer unknown), for covid-19 immunisation; covid-19 vaccine (dose 1; manufacturer unknown), for covid-19 immunisation. the following information was reported: off label use (hospitalization, medically significant), interchange of vaccine products (hospitalization, medically significant) all with onset 18dec2021, outcome "unknown" and all described as "primary immunisation: non-pfizer vaccine; booster: comirnaty"; insomnia (hospitalization, medically significant), outcome "recovered", described as "insomnia"; migraine (hospitalization, medically significant), outcome "recovered", described as "migraine"; migraine with aura (hospitalization, medically significant) with onset 02jan2022, outcome "recovered with sequelae", described as "migraine aura"; fatigue (hospitalization, medically significant), outcome "unknown", described as "fatigue/unusual tiredness"; chest pain (hospitalization, medically significant), outcome "unknown", described as "chest pain"; dyspnoea (hospitalization, medically significant), outcome "unknown", described as "shortness of breath"; palpitations (hospitalization, medically significant), outcome "unknown", described as "heart palpitations"; tachycardia (hospitalization, medically significant), outcome "unknown", described as "racing heart (tachycardia)"; syncope (hospitalization, medically significant), outcome "unknown", described as "fainting"; paraesthesia (hospitalization, medically significant), outcome "unknown", described as "tingling down arms"; vomiting (hospitalization, medically significant), outcome "unknown", described as "vomiting"; myocarditis (medically significant), pericarditis (medically significant), outcome "unknown", described as "possible inflammation of the heart (myocarditis or pericarditis)". the patient was hospitalized for off label use, interchange of vaccine products, insomnia, migraine, migraine with aura, fatigue, chest pain, dyspnoea, palpitations, tachycardia, syncope, paraesthesia, vomiting (hospitalization duration: 5 days). the events "insomnia", "migraine", "migraine aura", "fatigue/unusual tiredness", "chest pain", "shortness of breath", "heart palpitations", "racing heart (tachycardia)", "fainting", "tingling down arms" and "vomiting" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: chest x-ray: unknown result; computerised tomogram: unknown result; echocardiogram: unknown result; magnetic resonance imaging heart: unknown result; sars-cov-2 test: no - negative covid-19 test; troponin: normal. patient had not had symptoms associated with covid-19. patient was not pregnant. patient was not currently breastfeeding. patient last menstrual period date was 01feb2022. patient had not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. reporter was considered report relate to possible inflammation of the heart (myocarditis or pericarditis). patient had neen in hospital twice due to sickness. the symptoms lead to a hospital stay. the hospital stays for 5 days. diagnosis was made by a medical professional (neurologist). therapeutic measures were taken as a result of insomnia, migraine, migraine with aura, fatigue, chest pain, dyspnoea, palpitations, tachycardia, syncope, paraesthesia, vomiting. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: chest x-ray; result unstructured data: test result:unknown result; test name: chest computerised tomography; result unstructured data: test result:unknown result; test name: echocardiogram; result unstructured data: test result:unknown result; test name: cardiac mri; result unstructured data: test result:unknown result; test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test; test name: troponin; result unstructured data: test result:normal
Liste des symptômes
paraesthesia fatigue vomiting chest pain insomnia pericarditis myocarditis dyspnoea tachycardia palpitations syncope migraine interchange of vaccine products chest x-ray computerised tomogram sars-cov-2 test echocardiogram troponin migraine with aura off label use magnetic resonance imaging heart
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