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VAERS Report 2115856

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: ff2834


Date de réception du rapport
2022-02-16
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-09
Date d’apparition
18
Nombre de jours (date d’apparition – date de vaccination)
18
Description de l’événement indésirable

circulatory problems; postural orthostatic tachycardia syndrome; sinus tachycardia when getting up from a lying or sitting position with circulatory problems, heart rate 130 to max. 170/min; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: at-basgages-2021-077083 (basgages). a 42 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 09nov2021 (lot number: ff2834) as dose 1, single for covid-19 immunisation. relevant medical history included: "covid-19 respiratory infection", start date: 2020 (not ongoing). the patient's concomitant medications were not reported. the following information was reported: postural orthostatic tachycardia syndrome (medically significant) with onset 27nov2021, outcome "not recovered", described as "postural orthostatic tachycardia syndrome"; sinus tachycardia (medically significant) with onset 27nov2021, outcome "not recovered", described as "sinus tachycardia when getting up from a lying or sitting position with circulatory problems, heart rate 130 to max. 170/min"; cardiovascular disorder (non-serious), outcome "unknown", described as "circulatory problems". the patient underwent the following laboratory tests and procedures: heart rate: 130 to max. 170, notes: /min. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: heart rate; result unstructured data: test result:130 to max. 170; comments: /min
Liste des symptômes
cardiovascular disorder postural orthostatic tachycardia syndrome sinus tachycardia heart rate
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