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VAERS ID: 2272632

AGE: UNK| SEX: M|State: FR

Description

Arterial hypotension; Chest tightness; Pain chest; This is a spontaneous report received from a contactable reporter(s) (Pharmacist) from the Agency Agency-WEB. Regulatory number: FR-AFSSAPS-RE20220617. A 56-year-old male patient received BNT162b2 (COMIRNATY), on 07Apr2022 as dose 2 (booster), single (Lot number: PCB0016) intramuscular for covid-19 immunisation. The patient's relevant medical history included: "COVID-19" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: janssen coviD-19 vaccine (Primary Immunization series complete, Batch number: XD975, Route: Intramuscular, Anatomical Location: Arm Left), administration date: 31May2021, for COVID-19 Immunisation. The following information was reported: HYPOTENSION (hospitalization) with onset 11Apr2022, outcome "recovered" (2022), described as "Arterial hypotension"; CHEST DISCOMFORT (hospitalization) with onset 11Apr2022, outcome "recovered" (2022), described as "Chest tightness"; CHEST PAIN (hospitalization) with onset 11Apr2022, outcome "recovered" (2022), described as "Pain chest". No follow-up attempts are possible. No further information is expected.

Symptoms

Chest discomfort, Chest pain, Hypotension

Vaccines

VAX DATE: 06 April 2022 | ONSET DATE: 10 April 2022 | DAYS TO ONSET: 4
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • OT
  • PCB0016

RECVDATE:11 May 2022
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:Y
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: COVID-19
PRIOR_VAX:
SPLTTYPE:FRPFIZER INC202200657019
FORM_VERS:2
TODAYS_DATE:10 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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