Page breadcrumb nav

VAERS Report 2156901

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
2022-02-19
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

myocarditis; pericarditis; chest pain; dyspnoea; this is a spontaneous report from a contactable physician from the regulatory agency (ra). regulatory number: gb-mhra-webcovid-202202241700208630-hjpwr. other case identifier: gb-mhra-adr 26648275. an 18-year-old male patient received bnt162b2 (comirnaty), administration date 19feb2022 as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. patient had not had symptoms associated with covid-19. covid-19 virus test was no - negative covid-19 test. patient had not tested positive for covid-19 since having the vaccine. patient was not enrolled in clinical trial. the following information was reported: myocarditis (hospitalization, medically significant) with onset 20feb2022, outcome "recovering", described as "myocarditis"; pericarditis (hospitalization, medically significant) with onset 20feb2022, outcome "recovering", described as "pericarditis"; chest pain (hospitalization, medically significant) with onset feb2022, outcome "unknown", described as "chest pain"; dyspnoea (hospitalization, medically significant) with onset feb2022, outcome "unknown", described as "dyspnoea". the patient was hospitalized for myocarditis, pericarditis, chest pain, dyspnoea (start date: feb2022, discharge date: feb2022, hospitalization duration: 2 days). the events "myocarditis", "pericarditis", "chest pain" and "dyspnoea" were evaluated at the physician office visit. patient was perfectly well, 24-36 hours post-dose, developed chest pains. the report was not related to possible blood clots or low platelet counts. the report was related to possible myocarditis and pericarditis. the patient admitted to hospital and stayed in hospital for 2 days. the patient was seen by a cardiologist and the diagnosis was myocarditis. the troponin was measured, this was taken on admission and until discharge. there was not presence of pericardial rub, or changes in heart sounds, no signs of heart failure or arrhythmia, no signs of a systemic disease that may be responsible for the presentation. the cardiac troponin (normal high less than 15) was abnormal, and the peak troponin value was 2000 in feb2022, and 1800 in feb2022, and 1500 in feb2022. in feb2022, patient also had normal chest x-ray, echocardiogram presented ef (ejection fraction) 54%. the chest computed tomography and coronary angiography were not carried out; cardiac mri would be carried out in future. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test date: 202202; test name: chest x-ray; result unstructured data: test result:normal; test date: 202202; test name: echocardiogram; result unstructured data: test result:ef 54%; test date: 202202; test name: ejection fraction; test result: 54 %; test name: covid-19 virus test; result unstructured data: test result:no - negative covid-19 test; test date: 202202; test name: cardiac troponin; result unstructured data: test result:abnormal; test date: 202202; test name: troponin; result unstructured data: test result:2000; comments: troponin peak value; test date: 202202; test name: troponin; result unstructured data: test result:1800; test date: 202202; test name: troponin; result unstructured data: test result:1500
List of symptoms
chest pain pericarditis myocarditis dyspnoea chest x-ray sars-cov-2 test echocardiogram troponin ejection fraction
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
Yes
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na