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