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VAERS Report 2156804

Case Report Section

Détails du rapport Vaer

Âge: 24 ans

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fl9994


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-10
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

fatigue; chest pain; myocarditis; this is a spontaneous report received from a contactable reporter(s) (other hcp) from the regulatory agency. regulatory number: gb-mhra-webcovid-202202171418412190-0g1cm. other case identifier(s): gb-mhra-adr 26613079. a 24 year-old male patient received bnt162b2 (comirnaty), administration date 10feb2022 (lot number: fl9994) at the age of 24 years as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history was not reported. concomitant medication(s) included: colchicine. vaccination history included: bnt162b2 (dose 1), for covid-19 immunisation; bnt162b2 (dose 2), for covid-19 immunisation. the following information was reported: myocarditis (hospitalization, medically significant) with onset 10feb2022, outcome "recovering", described as "myocarditis"; fatigue (hospitalization, medically significant), outcome "unknown", described as "fatigue"; chest pain (hospitalization, medically significant), outcome "unknown", described as "chest pain". the events "myocarditis", "fatigue" and "chest pain" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: sars-cov-2 test: (unspecified date) negative, notes: no - negative covid-19 test; troponin: (16feb2022) 9012, notes: 9012. therapeutic measures were taken as a result of myocarditis, fatigue, chest pain. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test; test date: 20220216; test name: troponin; result unstructured data: test result:9012; comments: 9012
Liste des symptômes
fatigue chest pain myocarditis sars-cov-2 test troponin
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