nocturnal arrhythmia; tinnitus; tachycardia 138 beats at rest; hypertension 104/197; shortness of breath; chest discomfort; fatigue; severe dizziness; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: it-minisal02-842683. a 41 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm left (also reported as left shoulder), administration date 22jan2022 (batch/lot number: unknown) at the age of 41 years as dose 1, single for covid-19 immunisation. the patient's relevant medical history was not reported. there were no concomitant medications. the following information was reported: tinnitus (life threatening) with onset 22jan2022 13:00, outcome "not recovered", described as "tinnitus"; tachycardia (life threatening) with onset 22jan2022 13:00, outcome "not recovered", described as "tachycardia 138 beats at rest"; hypertension (life threatening) with onset 22jan2022 13:00, outcome "recovering", described as "hypertension 104/197"; dyspnoea (life threatening) with onset 22jan2022 13:00, outcome "not recovered", described as "shortness of breath"; chest pain (life threatening) with onset 22jan2022 13:00, outcome "not recovered", described as "chest discomfort"; fatigue (life threatening) with onset 22jan2022 13:00, outcome "not recovered", described as "fatigue"; dizziness (life threatening) with onset 22jan2022 13:00, outcome "not recovered", described as "severe dizziness"; arrhythmia (medically significant), outcome "unknown", described as "nocturnal arrhythmia". the patient underwent the following laboratory tests and procedures: blood pressure measurement: (22jan2022) 104/197; (07feb2022) 93/150; (07feb2022) 86/140; (15feb2022) 140/83; electrocardiogram: (unspecified date) unknown; heart rate: (unspecified date) 100-130 bpm; (22jan2022) 138, notes: beats; (07feb2022) 100. therapeutic measures were taken as a result of tinnitus, tachycardia, hypertension, dyspnoea, chest pain, fatigue, dizziness which included furosemide 25 mg and ramipril 2.5 mg. he has contacted the gp and the vaccinator (no access to the emergency room). the blood pressure levels have stabilized, on 15feb, at 140/83 due to the daily intake of 2.5 mg ramipril. from the compilation of the report, new symptoms have arisen, a constant increase in heart rate at rest (100-130 bpm) and a sensation of dyspnea and nocturnal arrhythmia. awaiting further diagnostic tests (dynamic ecg). sender's comments: 14feb2022 regulatory authority: additional follow-up information requested from the reporter regarding the case (update of outcome, medical history, vaccine lot number, actions taken). 15feb2022 regulatory authority: the card is updated with the additional information provided by the reporter. reporter comment: i had never encountered pressure problems before administration of the vaccine, today 07feb2022 i still do not feel well the pressure alternates between 86/140 and 93/150 heartbeats at rest 100, tinnitus, tiredness / lack of the air. - influenza vaccination was not carried out - concomitant conditions: none - reaction time: 13:00 - posted by vigicovid19-sheet. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: i had never encountered pressure problems before administration of the vaccine, today 07feb2022 i still do not feel well the pressure alternates between 86/140 and 93/150 heartbeats at rest 100, tinnitus, tiredness / lack of the air. - influenza vaccination was not carried out - concomitant conditions: none - reaction time: 13:00 - posted by vigicovid19-sheet

test date: 20220122; test name: blood pressure; result unstructured data: test result:104/197; test date: 20220207; test name: blood pressure; result unstructured data: test result:93/150; test date: 20220207; test name: blood pressure; result unstructured data: test result:86/140; test date: 20220215; test name: blood pressure; result unstructured data: test result:140/83; test name: dynamic ecg; result unstructured data: test result:unknown; test name: heart rate; result unstructured data: test result:100-130 bpm; test date: 20220122; test name: heart rate; result unstructured data: test result:138; comments: beats; test date: 20220207; test name: heart rate; result unstructured data: test result:100

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