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VAERS Report 2136789

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: fd6840


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-06-29
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

cardiac arrhythmia; pulse rate increased; besides, a constant temperature between 37.5 and 38; tachycardia; inappropriate schedule of vaccine administered/ first dose on 18may2021 and second dose on 29jun2021; this is a spontaneous report received from contactable reporter(s) (consumer or other non hcp and physician) from the regulatory authority-web. regulatory number: at-basgages-2021-064705 (ra). a 39 year-old female patient received bnt162b2 (comirnaty), administration date 29jun2021 (lot number: fd6840) as dose 2, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1), administration date: 18may2021, for covid-19 immunization. the following information was reported: inappropriate schedule of product administration (medically significant) with onset 29jun2021, outcome "unknown", described as "inappropriate schedule of vaccine administered/ first dose on 18may2021 and second dose on 29jun2021"; arrhythmia (medically significant) with onset jul2021, outcome "recovered", described as "cardiac arrhythmia"; heart rate increased (medically significant) with onset jul2021, outcome "recovered", described as "pulse rate increased"; body temperature abnormal (medically significant) with onset jul2021, outcome "recovered", described as "besides, a constant temperature between 37.5 and 38"; tachycardia (medically significant) with onset jul2021, outcome "recovered", described as "tachycardia". the patient underwent the following laboratory tests and procedures: body temperature: between 37.5 and 38; heart rate: increased. no follow-up attempts are possible. no further information is expected

Données de laboratoire
test name: body temperature; result unstructured data: test result:between 37.5 and 38 centigrade; test name: heart rate; result unstructured data: test result:increased
Liste des symptômes
arrhythmia tachycardia heart rate increased inappropriate schedule of product administration body temperature body temperature abnormal 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