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VAERS Report 2156837

Case Report Section

Vaer Report Details

Age: NA

Gender: Male

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: unknown


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-06-06
Date of Onset
25
Number of days (onset date – vaccination date)
25
Adverse Event Description

chest pain; burning sensation; fatigue/unusual tiredness; sweating; myocarditis; pericarditis; chest pain - cardiac; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory agency. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202182238528760-yvkjl. other case identifier(s): gb-mhra-adr 26624074. a 33 year-old male patient received bnt162b2 (bnt162b2), administration date 06jun2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. patient is not enrolled in clinical trial. the following information was reported: angina pectoris (medically significant) with onset jul2021, outcome "recovered", described as "chest pain - cardiac"; chest pain (medically significant), outcome "unknown", described as "chest pain"; burning sensation (medically significant), outcome "recovering", described as "burning sensation"; fatigue (medically significant), outcome "unknown", described as "fatigue/unusual tiredness"; hyperhidrosis (medically significant), outcome "recovering", described as "sweating"; myocarditis (medically significant), outcome "unknown", described as "myocarditis"; pericarditis (medically significant), outcome "unknown", described as "pericarditis". the clinical course as follows: had intense burning sensation all over his body and was sweating but started in the chest which came on very suddenly. he was kneeling at the time, and it came on when he stood up. it was late at night maybe around 11pm. the patient never reported any relevant investigations or tests conducted. the symptoms did not lead to a hospital stay. a diagnosis was not made by a medical professional. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200319206 same patient/vaccine, different dose/events;gb-pfizer inc-202200319207 same patient/vaccine, different dose/events

Lab Data
na
List of symptoms
hyperhidrosis fatigue angina pectoris chest pain pericarditis myocarditis burning sensation
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