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VAERS Report 2156826

Case Report Section

Vaer Report Details

Age: 21 years old

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fk9712


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-12-15
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

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

Lab Data
test name: covid-19 virus test; test result: negative
List of symptoms
palpitations sars-cov-2 test
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na