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VAERS ID: 1000282

AGE: UNK| SEX: M|State: FR

Description

Infarct myocardial; Diffuse coronary disease; Feeling sick; This is a spontaneous report from a contactable physician downloaded from the WEB regulatory authority FR-AFSSAPS-PV20210074. A 72-year-old male patient received bnt162b2 (COMIRNATY, lot: EJ6795), intramuscularly on 12Jan2021 at 0.3 ml single dose on left arm for COVID-19 immunisation. Medical history included ongoing respiratory failure and ongoing probable diffuse coronary disease; pneumonia, bronchitis chronic and minimal bronchial dilation, all from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On 14Jan2021, the patient presented with malaise (feeling sick). On 17Jan2021, patient had diagnosis of myocardial infarction. It was reported that diffuse coronary disease was probably old but possible destabilization by the vaccine on 17Jan2021. Patient was hospitalized in intensive care. Patient was performed an emergency coronary angioplasty and was healing in progress on the date of the declaration (20Jan2021). Outcome of feeling sick was resolved. Outcome of myocardial infarction and diffuse coronary disease was resolving. This case was reported as serious with seriousness criteria: hospitalized and life-threatening. No follow-up attempts are possible. No further information is expected.

Symptoms

Coronary artery disease, Malaise, Myocardial infarction

Vaccines

VAX DATE: 11 January 2021 | ONSET DATE: 13 January 2021 | DAYS TO ONSET: 2
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK
  • OT
  • LA
  • EJ6795

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
Y
ER_VISIT:
HOSPITAL:
Y
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
OTH
OTHER_MEDS:
CUR_ILL:
Coronary disease; Respiratory failure
HISTORY:
Medical History/Concurrent Conditions: Bronchiectasis; Bronchitis chronic; Pneumonia
PRIOR_VAX:
SPLTTYPE:
FRPFIZER INC2021088190
FORM_VERS:
2
TODAYS_DATE:
01 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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