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VAERS Report 2157356

Case Report Section

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: fk6304


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-12-29
Date of Onset
10
Number of days (onset date – vaccination date)
10
Adverse Event Description

heart pain ten days after first pfizer vaccine administration; diffuse chest pain; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the ra-web. regulatory number: it-minisal02-843245. a 26 year-old female patient received bnt162b2 (comirnaty), intramuscular, administered in arm left, administration date 29dec2021 (lot number: fk6304) as dose 1, single and administration date 05feb2022 (batch/lot number: unknown) as dose 2, single for covid-19 immunisation. relevant medical history included: "interventricular defect from birth" (unspecified if ongoing). concomitant medication(s) included: nuvaring taken for contraception. the following information was reported: angina pectoris (medically significant) with onset 08jan2022, outcome "recovering", described as "heart pain ten days after first pfizer vaccine administration"; chest pain (non-serious) with onset 08jan2022, outcome "recovering", described as "diffuse chest pain". the patient underwent the following laboratory tests and procedures: cardiovascular examination: unknown results; echocardiogram: unknown results, notes: within 72 h. reported administration of 2nd dose of vaccine on 05feb2022 that did not change the symptoms previously experienced. impact on quality of life (7/10). reporter comment: interventricular defect from birth. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reporter's comments: interventricular defect from birth

Lab Data
test name: cardiac examination; result unstructured data: test result:unknown results; test name: echocardiogram; result unstructured data: test result:unknown results; comments: within 72 h
List of symptoms
angina pectoris chest pain echocardiogram cardiovascular examination
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