Page breadcrumb nav

VAERS Report 2157402

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fk6304


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-20
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

acute pericarditis. burning chest pain that is accentuated by supine and with breathing; acute pericarditis. burning chest pain that is accentuated by supine and with breathing; off label use; interchange of vaccine products (dose 2: spikevax); this is a spontaneous report received from a contactable reporter(s) (physician) from the regulatory authority-web. regulatory number: it-minisal02-845399. a 28 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 20jan2022 17:52 (lot number: fk6304) as dose 3 (booster), 0.3 ml single for covid-19 immunisation; covid-19 vaccine mrna (mrna 1273) (spikevax), administration date 31aug2021 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation. the following information was reported: off label use (medically significant) with onset 20jan2022, outcome "unknown", described as "off label use"; interchange of vaccine products (medically significant) with onset 20jan2022, outcome "unknown", described as "interchange of vaccine products (dose 2: spikevax)"; pericarditis (medically significant), chest pain (medically significant) all with onset 13feb2022, outcome "not recovered" and all described as "acute pericarditis. burning chest pain that is accentuated by supine and with breathing". the patient underwent the following laboratory tests and procedures: electrocardiogram: (14feb2022) results unknown. therapeutic measures were taken as a result of pericarditis and chest pain. reporter comment: acute pericarditis 24 days after vaccine administration. similar episode 1 month after the second dose.; reporter's comments: acute pericarditis 24 days after vaccine administration. similar episode 1 month after the second dose

Données de laboratoire
test date: 20220214; test name: ecg; result unstructured data: test result:results unknown
Liste des symptômes
chest pain pericarditis interchange of vaccine products electrocardiogram off label use
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