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VAERS Report 2157380

Case Report Section

Vaer Report Details

Age: 49 years old

Gender: Unknown

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: 33193tb


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-14
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.; this is a spontaneous report received from a contactable reporter(s) (consumer or other non-hcp) from the regulatory authority-web. the reporter is the patient. regulatory number: it-minisal02-843972. a 49-year-old patient received bnt162b2 (comirnaty), intramuscular, administered in deltoid left, administration date 14feb2022 10:58 (lot number: 33193tb, expiration date: 09mar2022) at the age of 49 years as dose 3 (booster), single for covid-19 immunization. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: comirnaty (dose 1 (batch unknown)), for covid-19 immunization; comirnaty (dose 2 (batch unknown)), for covid-19 immunization. the following information was reported: syncope (medically significant), tachycardia (non-serious), nausea (non-serious), dizziness (non-serious), extrasystoles (non-serious), chest discomfort (non-serious) all with onset 14feb2022, outcome "recovered" (feb2022) and all described as "tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting."; lymphadenopathy (non-serious), chills (non-serious) all with onset 14feb2022, outcome "recovering" and all described as "tachycardia, extrasystole, nausea, swollen lymph nodes in the vaccine arm, dizziness, tightness in the chest, fainting.". therapeutic measures were taken as a result of lymphadenopathy with aspirin c intake at one tablet a day. the patient was not in er (emergency room) for events. impact on quality of life was reported as (8/10). reporter comment: i don't suffer from allergies or previous illnesses. after the vaccine i found tachycardia, nausea, fainting, swollen axillary lymph node in the injection arm, chills and tightness in the chest. no follow-up attempts are possible. no further information is expected

Lab Data
na
List of symptoms
chills nausea chest discomfort dizziness lymphadenopathy tachycardia extrasystoles syncope
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