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VAERS Report 2156941

Case Report Section

Vaer Report Details

Age: NA

Gender: Unknown

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
2021-12-19
Date of Onset
57
Number of days (onset date – vaccination date)
57
Adverse Event Description

fatigue/unusual tiredness; dead arm; severe chest pain left side; shortness of breath; heaviness in arm; palpitations/heart palpitations; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory number: gb-mhra-webcovid-202202271917216420-wnppk. other case identifier(s): gb-mhra-adr 2665725. a patient (no qualifiers provided) received bnt162b2 (comirnaty), administration date 19dec2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "positive covid-19 test", start date: 24jun2021 (unspecified if ongoing). the patient's concomitant medications were not reported. the following information was reported: chest pain (hospitalization, medically significant) with onset 14feb2022, outcome "recovering", described as "severe chest pain left side"; dyspnoea (hospitalization, medically significant) with onset 14feb2022, outcome "recovering", described as "shortness of breath"; limb discomfort (hospitalization, medically significant) with onset 14feb2022, outcome "recovered" (20feb2022), described as "heaviness in arm"; palpitations (hospitalization, medically significant) with onset 14feb2022, outcome "not recovered", described as "palpitations/heart palpitations"; fatigue (hospitalization, medically significant), outcome "unknown", described as "fatigue/unusual tiredness"; hypoaesthesia (hospitalization, medically significant), outcome "unknown", described as "dead arm". the patient underwent the following laboratory tests and procedures: chest x-ray: (unspecified date) unknown results; electrocardiogram: (unspecified date) unknown results; sars-cov-2 test: (24jun2021) yes - positive covid-19 test; blood test: (unspecified date) unknown results. the report of the patient was related to possible inflammation of the heart (myocarditis or pericarditis) and the symptoms did not lead to a hospital stay. it was unknown whether the diagnosis was made by a medical professional. the patient did not have symptoms associated with covid-19 and was not enrolled in the clinical trial. the patient had not been tested positive for covid-19 since having the vaccine. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test name: blood test; result unstructured data: test result:unknown results; test name: chest x-ray; result unstructured data: test result:unknown results; test name: ecg; result unstructured data: test result:unknown results; test date: 20210624; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
List of symptoms
fatigue chest pain dyspnoea palpitations hypoaesthesia chest x-ray electrocardiogram sars-cov-2 test blood test limb discomfort
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