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VAERS Report 2156839

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: fk9712


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-12-20
Date of Onset
3
Number of days (onset date – vaccination date)
3
Adverse Event Description

fatigue/unusual tiredness; chest pain; shortness of breath; heart palpitations; racing heart (tachycardia); myocarditis or pericarditis; very drained of energy; drug ineffective; sars-cov-2 infection; heart enlarged; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202191007170200-gguu4 (agency). other case identifier(s): gb-mhra-adr 26625579 (agency). a 36 year-old male patient received bnt162b2 (comirnaty), administration date 20dec2021 (lot number: fk9712) as dose 1, single for covid-19 immunisation. relevant medical history included: "admitted to hospital" (unspecified if ongoing), notes: i had a worse reaction from the johnson and johnson which i was admitted to hospital. the patient's concomitant medications were not reported. past drug history included: diazipam, notes: they gave me a shot of diazipam. the following information was reported: drug ineffective (medically significant) with onset 12jan2022, outcome "unknown", described as "drug ineffective"; covid-19 (medically significant) with onset 12jan2022, outcome "recovered" (18jan2022), described as "sars-cov-2 infection"; cardiomegaly (medically significant) with onset 23dec2021, outcome "recovered with sequelae" (31dec2021), described as "heart enlarged"; fatigue (medically significant), outcome "unknown", described as "fatigue/unusual tiredness"; chest pain (medically significant), outcome "recovered", described as "chest pain"; dyspnoea (medically significant), outcome "unknown", described as "shortness of breath"; palpitations (medically significant), outcome "unknown", described as "heart palpitations"; tachycardia (medically significant), outcome "unknown", described as "racing heart (tachycardia)"; carditis (medically significant), outcome "unknown", described as "myocarditis or pericarditis"; asthenia (medically significant), outcome "unknown", described as "very drained of energy". the patient underwent the following laboratory tests and procedures: blood test: signal heart muscle damage, notes: signal heart muscle damage; heart rate: irregular; sars-cov-2 test: negative, notes: no - negative covid-19 test; troponin: unknown results. additional information: patient has not had symptoms associated with covid-19. basically, patient just had very bad pain around the heart and chest area for 5 days, very drained of energy. patient had a worse reaction from the johnson and johnson which p was admitted to hospital they gave me a shot of diazipam and gliarin under my tongue. they also did an egg which showed irregular heart rate. patient was not enrolled in clinical trial. the patient reported that the events relate to possible inflammation of the heart (myocarditis or pericarditis). patient mentioned that nothing was done at this time, any relevant investigations or tests, as patient was in another country for holiday with friends. the symptoms did not lead to hospital stay. the diagnosis was made by a medical professional, doctor. patient had taken a blood tests, such as for certain proteins (called troponin) that signal heart muscle damage taken. no follow-up attempts are possible. no further information is expected

Lab Data
test name: blood tests; result unstructured data: test result:signal heart muscle damage; comments: signal heart muscle damage; test name: heart rate; result unstructured data: test result:irregular; test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test; test name: troponin; result unstructured data: test result:unknown results
List of symptoms
drug ineffective fatigue chest pain asthenia cardiomegaly dyspnoea tachycardia palpitations covid-19 sars-cov-2 test blood test carditis troponin heart rate
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