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VAERS Report 2136784

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Male

Région : Outside US

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-17
Date d’apparition
1
Nombre de jours (date d’apparition – date de vaccination)
1
Description de l’événement indésirable

right heart failure; -60% power (competitive cycling); sometimes dyspnea; pressure on the chest; pulse increased +10-15 beats; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority-web. regulatory number: at-basgages-2021-064402 . a 36 year-old male patient received bnt162b2 (comirnaty), administration date 17nov2021 (lot number: unknown) as dose 3 (booster), 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 immunization; covid-19 vaccine (dose 2, manufacturer unknown), for covid-19 immunization. the following information was reported: right ventricular failure (medically significant) with onset 18nov2021, outcome "not recovered", described as "right heart failure"; exercise tolerance decreased (non-serious) with onset 18nov2021, outcome "not recovered", described as "-60% power (competitive cycling)"; dyspnoea (non-serious) with onset 18nov2021, outcome "not recovered", described as "sometimes dyspnea"; chest discomfort (non-serious) with onset 18nov2021, outcome "not recovered", described as "pressure on the chest"; heart rate increased (non-serious) with onset 18nov2021, outcome "not recovered", described as "pulse increased +10-15 beats". the patient underwent the following laboratory tests and procedures: heart rate: 10-15 beats increased. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Données de laboratoire
test name: heart rate; result unstructured data: test result:10-15 beats increased
Liste des symptômes
chest discomfort dyspnoea heart rate increased right ventricular failure exercise tolerance decreased heart rate
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