Page breadcrumb nav

VAERS Report 2157069

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-15
Date d’apparition
4
Nombre de jours (date d’apparition – date de vaccination)
4
Description de l’événement indésirable

precordial pain; myocarditis; troponin up to 4500; this is a spontaneous report received from a contactable reporter(s) (physician) from the ra-web. regulatory number: gr-greof-202200509. a 23 year-old male patient received bnt162b2 (comirnaty), administration date 15dec2021 (lot number: unknown) 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. the following information was reported: myocarditis (life threatening) with onset 19dec2021, outcome "recovering", described as "myocarditis"; troponin increased (life threatening) with onset 19dec2021, outcome "recovering", described as "troponin up to 4500"; chest pain (medically significant), outcome "unknown", described as "precordial pain". the patient underwent the following laboratory tests and procedures: troponin: (19dec2021) 4500, notes: 4500; (unspecified date) 62.4, notes: on discharge. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test date: 20211219; test name: troponin; result unstructured data: test result:4500; comments: 4500; test name: troponin; result unstructured data: test result:62.4; comments: on discharge
Liste des symptômes
chest pain myocarditis troponin increased troponin
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na