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VAERS Report 2156826

Case Report Section

Détails du rapport Vaer

Âge: 21 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: fk9712


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-15
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

heart pounding; this is a spontaneous report received from a contactable consumer from the ra. regulatory number: gb-mhra-webcovid-202202181219517070-jzrsz. other case identifier(s): gb-mhra-adr 26619885. a 21 year-old female patient received bnt162b2 (comirnaty), administration date 15dec2021 (lot number: fk9712) at the age of 21 years as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: palpitations (medically significant) with onset 15dec2021, outcome "not recovered", described as "heart pounding". the patient underwent the following laboratory tests and procedures: sars-cov-2 test: negative. additional information: the patient has not tested positive for covid-19 since having the vaccine. the patient is not enrolled in clinical trial and has not had symptoms associated with covid-19. no follow-up attempts are possible. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200319469 same patient and reporter; different vaccine dose and event

Données de laboratoire
test name: covid-19 virus test; test result: negative
Liste des symptômes
palpitations sars-cov-2 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