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VAERS Report 2157380

Case Report Section

Détails du rapport Vaer

Âge: 49 ans

Genre: Unknown

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: 33193tb


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-02-14
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; 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-minisal02-843972. a 49-year-old patient received bnt162b2 (comirnaty), intramuscular, administered in deltoid left, administration date 14feb2022 10:58 (lot number: 33193tb, expiration date: 09mar2022) at the age of 49 years as dose 3 (booster), single for covid-19 immunization. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1 (batch unknown)), for covid-19 immunization; comirnaty (dose 2 (batch unknown)), for covid-19 immunization. the following information was reported: syncope (medically significant), tachycardia (non-serious), nausea (non-serious), dizziness (non-serious), extrasystoles (non-serious), chest discomfort (non-serious) all with onset 14feb2022, outcome "recovered" (feb2022) and all described as "tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting."; lymphadenopathy (non-serious), chills (non-serious) all with onset 14feb2022, outcome "recovering" and all described as "tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.". therapeutic measures were taken as a result of lymphadenopathy with aspirin c intake at one tablet a day. the patient was not in er (emergency room) for events. impact on quality of life was reported as (8/10). reporter comment: i don't suffer from allergies or previous illnesses. after the vaccine i found tachycardia, nausea, fainting, swollen axillary lymph node in the injection arm, chills and tightness in the chest. no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
chills nausea chest discomfort dizziness lymphadenopathy tachycardia extrasystoles syncope
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