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: fk6304
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-12-29
- Date d’apparition
- 10
- Nombre de jours (date d’apparition – date de vaccination)
- 10
- Description de l’événement indésirable
-
heart pain ten days after first pfizer vaccine administration; diffuse chest pain; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-843245. a 26 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 29dec2021 (lot number: fk6304) as dose 1, single and administration date 05feb2022 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "interventricular defect from birth" (unspecified if ongoing). concomitant medication(s) included: nuvaring taken for contraception. the following information was reported: angina pectoris (medically significant) with onset 08jan2022, outcome "recovering", described as "heart pain ten days after first pfizer vaccine administration"; chest pain (non-serious) with onset 08jan2022, outcome "recovering", described as "diffuse chest pain". the patient underwent the following laboratory tests and procedures: cardiovascular examination: unknown results; echocardiogram: unknown results, notes: within 72 h. reported administration of 2nd dose of vaccine on 05feb2022 that did not change the symptoms previously experienced. impact on quality of life (7/10). reporter comment: interventricular defect from birth. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: interventricular defect from birth
- Données de laboratoire
-
test name: cardiac examination; result unstructured data: test result:unknown results; test name: echocardiogram; result unstructured data: test result:unknown results; comments: within 72 h
- Liste des symptômes
-
angina pectoris chest pain echocardiogram cardiovascular examination
- 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