Page breadcrumb nav

VAERS Report 2157310

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: fh9951


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-10-26
Date of Onset
1
Number of days (onset date – vaccination date)
1
Adverse Event Description

hospitalization for transient ischemic attack. 4 days after the administration of the vaccine dose (after sars-cov-2 infection, which occurred previously, with hospitalization, for 14 days.; fever; headache; myalgia; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: it-minisal02-842738. a 43 year-old male patient received bnt162b2 (comirnaty), intramuscular, administered in arm right, administration date 26oct2021 (lot number: fh9951) as dose 1,single for covid-19 immunisation. relevant medical history included: "covid 19", start date: may2021 (unknown if ongoing), notes: for which he was hospitalized from 12may2021 to 26may2021; "bronchial asthma" (unknown if ongoing); "anxiety" (unspecified if ongoing). concomitant medication(s) included: xanax taken for anxiety. the following information was reported: transient ischaemic attack (hospitalization, life threatening) with onset 27oct2021, outcome "not recovered", described as "hospitalization for transient ischemic attack. 4 days after the administration of the vaccine dose (after sars-cov-2 infection, which occurred previously, with hospitalization, for 14 days."; pyrexia (life threatening) with onset 27oct2021, outcome "not recovered", described as "fever"; headache (life threatening) with onset 27oct2021, outcome "not recovered", described as "headache"; myalgia (life threatening) with onset 27oct2021, outcome "not recovered", described as "myalgia". the patient was hospitalized for transient ischaemic attack (start date: 30oct2021, discharge date: 31oct2021, hospitalization duration: 1 day(s)). therapeutic measures were taken as a result of transient ischaemic attack. additional information: actions taken (currently undergoing anticoagulant therapy since the day of admission for ra) - impact on quality of life (10/10). start date of therapy for ra (cardioaspirin 100 mg tablets since 30oct2021 to date). patient was admitted to the hospital since 30oct2021 to 31oct2021. reporter comment: patient suffering from bronchial asthma, about to make further visits to confirm what was already highlighted by the national health service years ago and to be treated again for this pathology. no follow-up attempts are completed. no further information is expected.; reporter's comments: patient suffering from bronchial asthma, about to make further visits to confirm what was already highlighted by the national health service years ago and to be treated again for this pathology

Lab Data
na
List of symptoms
headache pyrexia myalgia transient ischaemic attack
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