VAERS ID: 2331029

AGE: 31| SEX: M|STATE: FR

Description

Chest pain; Chest pain; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from the regulatory authority. Regulatory number: DE-PEI-CADR2022274204. Other Case identifier(s): DE-CADRPEI-2022274204, DE-PEI-202200075083. A 31-year-old male patient received BNT162b2 (COMIRNATY), on 03Feb2022 as dose 3 (booster), 0.3ml single (Batch/Lot number: unknown) at the age of 31 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Dose: 1, Manufacturer: Unknown), for COVID-19 vaccination; Covid-19 vaccine (Dose: 2, Manufacturer: Unknown), for COVID-19 vaccination. The following information was reported: ARRHYTHMIA (medically significant), CHEST PAIN (non-serious) all with onset 03Feb2022, outcome "not recovered" and all described as "Chest pain". Relatedness of Comirnaty to chest pain was provided as D, while for arrhythmia was provided as B (source of assessment: RA). No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Symptoms

Arrhythmia, Chest pain

Vaccines

VAX DATE: 02-03-2022| ONSET DATE: 02-03-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:DEPFIZER INC202200847095
FORM_VERS:2
TODAYS_DATE:06-24-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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