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VAERS Report 2157383

Case Report Section

Vaer Report Details

Age: NA

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fp8191


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-17
Date of Onset
2
Number of days (onset date – vaccination date)
2
Adverse Event Description

arrhythmia; continuous tachycardia independent of the type of activity; palpitations; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-844019. a 56 year-old female patient received bnt162b2 (comirnaty), intramuscular, administration date 17jan2022 (lot number: fp8191) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: arrhythmia (medically significant) with onset 19jan2022, outcome "unknown", described as "arrhythmia"; tachycardia (non-serious) with onset 19jan2022, outcome "unknown", described as "continuous tachycardia independent of the type of activity"; palpitations (non-serious) with onset 19jan2022, outcome "unknown", described as "palpitations". clinical course: impact on quality of life (8/10) no follow-up attempts are possible. no further information is expected

Lab Data
na
List of symptoms
arrhythmia tachycardia palpitations
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na