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VAERS Report 2136798

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: ew2239


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-04-09
Date d’apparition
47
Nombre de jours (date d’apparition – date de vaccination)
47
Description de l’événement indésirable

subacute myocardial infarction; stenocardia; this is a spontaneous report received from a contactable reporter(s) (physician) from the agency agency-web. regulatory number: at-basgages-2021-077872. a 80 year-old male patient received bnt162b2 (comirnaty), administration date 09apr2021 (lot number: ew2239) as dose 2, single for covid-19 immunisation. relevant medical history included: "copd" (unspecified if ongoing), notes: chronic obstructive pulmonary disease; "hepatopathy" (unspecified if ongoing); "chronic renal insufficiency" (unspecified if ongoing); "pulmonary embolism", start date: aug2014 (not ongoing). the patient's concomitant medications were not reported. vaccination history included: comirnaty (dose 1, single), for covid-19 immunisation. the following information was reported: angina pectoris (hospitalization, medically significant) with onset 26may2021, outcome "recovered", described as "stenocardia"; myocardial infarction (hospitalization, medically significant) with onset 28may2021, outcome "recovered", described as "subacute myocardial infarction". no follow-up attempts are possible. no further information is expected

Données de laboratoire
na
Liste des symptômes
angina pectoris myocardial infarction
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?
Oui
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na