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This is VAERS ID 1266014

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1266014
VAERS Form:2
Age:78.0
Sex:Male
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Heart rate, Heart rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METOPROLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: AFib (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion); Guillain Barre syndrome
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:131; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:82; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:128; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:48; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:115; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:109; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:42
CDC 'Split Type': USPFIZER INC2021412760

Write-up: his heart rate was 131. States he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115; This is a spontaneous report from a contactable consumer. A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 10Apr2021 15:30 (Batch/Lot Number: ER2613) as a single dose for COVID-19 immunisation. Medical history included atrial fibrillation (AFib) on 10Mar2021 (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion) and Guillain Barre syndrome on an unspecified date. Concomitant medication included metoprolol taken for heart (disorder). It was reported that on 10Apr2021 15:30, the patient got his first vaccine. The next morning (11Apr2021 08:30) when he did his vital check, that he does every morning, his heart rate was 131. Stated that he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115. Stated he was reading where fast heart rate can be one of the side effects. Stated today (12Apr2021) the highest his heart rate has been is 109 and lowest at 42. The patient stated that his heart rate goes from high to low. The patient stated that he normally takes Metoprolol 25 mg a day but he upped it to 100 mg on 11Apr2021 because that''s what they did when he had AFib. The outcome of the event was recovering.


Changed on 5/7/2021

VAERS ID: 1266014 Before After
VAERS Form:2
Age:78.0
Sex:Male
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Heart rate, Heart rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METOPROLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: AFib (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion); Guillain Barre syndrome
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:131; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:82; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:128; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:48; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:115; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:109; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:42
CDC 'Split Type': USPFIZER INC2021412760

Write-up: his heart rate was 131. States he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115; This is a spontaneous report from a contactable consumer. A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 10Apr2021 15:30 (Batch/Lot Number: ER2613) as a single dose for COVID-19 immunisation. Medical history included atrial fibrillation (AFib) on 10Mar2021 (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion) and Guillain Barre syndrome on an unspecified date. Concomitant medication included metoprolol taken for heart (disorder). It was reported that on 10Apr2021 15:30, the patient got his first vaccine. The next morning (11Apr2021 08:30) when he did his vital check, that he does every morning, his heart rate was 131. Stated that he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115. Stated he was reading where fast heart rate can be one of the side effects. Stated today (12Apr2021) the highest his heart rate has been is 109 and lowest at 42. The patient stated that his heart rate goes from high to low. The patient stated that he normally takes Metoprolol 25 mg a day but he upped it to 100 mg on 11Apr2021 because that''s what they did when he had AFib. The outcome of the event was recovering.


Changed on 5/14/2021

VAERS ID: 1266014 Before After
VAERS Form:2
Age:78.0
Sex:Male
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Heart rate, Heart rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METOPROLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: AFib (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion); Guillain Barre syndrome
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:131; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:82; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:128; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:48; Test Date: 20210411; Test Name: Heart rate; Result Unstructured Data: Test Result:115; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:109; Test Date: 20210412; Test Name: Heart rate; Result Unstructured Data: Test Result:42
CDC 'Split Type': USPFIZER INC2021412760

Write-up: his heart rate was 131. States he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115; This is a spontaneous report from a contactable consumer. A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in the left arm on 10Apr2021 15:30 (Batch/Lot Number: ER2613) as a single dose for COVID-19 immunisation. Medical history included atrial fibrillation (AFib) on 10Mar2021 (had A-Fib while hospitalized from 10Mar2021 to 22Mar2021. Did a cardioversion) and Guillain Barre syndrome on an unspecified date. Concomitant medication included metoprolol taken for heart (disorder). It was reported that on 10Apr2021 15:30, the patient got his first vaccine. The next morning (11Apr2021 08:30) when he did his vital check, that he does every morning, his heart rate was 131. Stated that he took some additional medication and it went back down to 82, then up to 128, down to 48, up to 115. Stated he was reading where fast heart rate can be one of the side effects. Stated today (12Apr2021) the highest his heart rate has been is 109 and lowest at 42. The patient stated that his heart rate goes from high to low. The patient stated that he normally takes Metoprolol 25 mg a day but he upped it to 100 mg on 11Apr2021 because that''s what they did when he had AFib. The outcome of the event was recovering.

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