Page breadcrumb nav

VAERS Report 2156853

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: fk9706


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-08
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

stroke; pericarditis; headache; lethargy; hypertension; supraventricular tachycardia; headache aggravated; tensional headache; migraine; this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority. the reporter is the patient. regulatory number: gb-mhra-webcovid-202202201114102350-x4yql. a 40 year-old male patient received bnt162b2 (comirnaty), administration date 08jan2022 (lot number: fk9706) as dose 3 (booster), single for covid-19 immunisation. relevant medical history included: "asthma" (unspecified if ongoing); "migraines" (unspecified if ongoing); "ibs" (unspecified if ongoing); "stress-anxiety" (unspecified if ongoing); "adhd" (unspecified if ongoing); "childhood asthma" (unspecified if ongoing); "i am aware of the symptoms as i had episodes of svt in the past" (unspecified if ongoing); "flu vaccination" (unspecified if ongoing); "stress-anxiety" (unspecified if ongoing). concomitant medication(s) included: influenza virus taken for influenza immunisation, start date: 31dec2021. vaccination history included: bnt162b2 (dose 1), administration date: 22jan2021, for covid-19 vaccination, reaction(s): "stroke type symptoms", "chest pains", "pericarditis"; bnt162b2 (dose 2), administration date: 24mar2021, for covid-19 vaccination, reaction(s): "headache", "lethargy", "swollen and painful left axillary lymph node"; bnt162b2 (dose 2), administration date: 24mar2021, for covid-19 immunisation, reaction(s): "inappropriate schedule of vaccine administered". patient has not had symptoms associated with covid-19. the following information was reported: cerebrovascular accident (medically significant), outcome "recovered", described as "stroke"; pericarditis (medically significant), outcome "recovered", described as "pericarditis"; headache (non-serious), outcome "recovered", described as "headache"; lethargy (non-serious), outcome "recovered", described as "lethargy"; hypertension (non-serious) with onset 19jan2022, outcome "not recovered", described as "hypertension"; supraventricular tachycardia (non-serious) with onset 08jan2022, outcome "recovered" (09jan2022), described as "supraventricular tachycardia"; headache (non-serious) with onset 08jan2022, outcome "not recovered", described as "headache aggravated"; tension headache (non-serious) with onset jan2022, outcome "unknown", described as "tensional headache"; migraine (non-serious) with onset jan2022, outcome "unknown", described as "migraine". the patient underwent the following laboratory tests and procedures: blood pressure measurement: (unspecified date) normal; (unspecified date) has been up, notes: specially dyastolic; (13feb2022) 153/110; blood test: (unspecified date) unknown result; electrocardiogram: (unspecified date) unknown result, notes: as well as 7 days ecg resolved; (2021) normal; sars-cov-2 test: (03feb2022) negative, notes: no - negative covid-19 test. the clinical course was reported as following: eight hours after the third vaccine, patient suffered with likely supraventricular tachycardia of 160bpm (patient was of the symptoms as patient had episodes of svt in the past). it lasted 45mins; nil since then. patient suffered from migraines and tensional headaches which patient beliefs that since the covid vaccines, they have been worse. patient used to have normal blood pressure and since 2nd and 3rd covid vaccine (specially since last dose) patient's blood pressure has been up, specially dyastolic. maximum has been 153/110 on 13feb2022 and still ongoing. patient has not tested positive for covid-19 since having the vaccine. no follow-up attempts are possible. no further information is expected

Lab Data
test name: blood pressure; result unstructured data: test result:normal; test name: blood pressure; result unstructured data: test result:has been up; comments: specially dyastolic; test date: 20220213; test name: blood pressure; result unstructured data: test result:153/110; test name: blood test; result unstructured data: test result:unknown result; test name: ecg; result unstructured data: test result:unknown result; comments: as well as 7 days ecg resolved; test date: 2021; test name: ecg; result unstructured data: test result:normal; test date: 20220203; test name: covid-19 virus test; test result: negative ; comments: no - negative covid-19 test
List of symptoms
headache cerebrovascular accident lethargy pericarditis supraventricular tachycardia hypertension migraine electrocardiogram tension headache sars-cov-2 test blood test blood pressure measurement
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