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VAERS Report 2095811

Case Report Section

Détails du rapport Vaer

Âge: 59 ans

Genre: Male

Région : Virginia

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 058e21a


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-02
Date d’apparition
45
Nombre de jours (date d’apparition – date de vaccination)
45
Description de l’événement indésirable

starting on 12/17 afternoon, i had a pain in my left shoulder and upper chest. it got worse through the evening and moved away from my shoulder and towards the left side of my chest. it hurt to breath. around 10pm the same day, i went to the er where they performed a few tests. bloodwork came back w/ elevated white blood cell count. all other tests were normal. i began feeling feverish so they gave me nitroglycerin. i had an extreme reaction to the nitro. my bp and pulse dropped. they saw i had pericarditis. they gave me pain medications

Données de laboratoire
blood work, ekg, covid test
Liste des symptômes
sars-cov-2 test negative white blood cell count increased arthralgia chest pain pericarditis pyrexia hypersensitivity blood pressure decreased electrocardiogram normal painful respiration heart rate decreased blood test abnormal
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Pharmacy or store
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:
nitroglycerin
Maladie actuelle
na