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This is VAERS ID 1408046

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408046
VAERS Form:2
Age:92.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-28
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Bradycardia, Ultrasound scan abnormal, Blood test, SARS-CoV-2 test

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Blood test; Result Unstructured Data: Test Result:unknown result; Test Name: tested for COVID-19; Result Unstructured Data: Test Result:unknown result; Test Name: Heart ultrasound; Result Unstructured Data: Test Result:47; Comments: before 2nd dose; Test Name: Heart ultrasound; Result Unstructured Data: Test Result:37; Comments: after 2nd dose
CDC 'Split Type': CAPFIZER INC2021649042

Write-up: Heart ultrasound reading was 47 before and after 2nd dose was 37; This is a spontaneous report received from a contactable consumer (patient) male of 92 years old regarding product BNT162B2. A 92-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 28May2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunization. The patient medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of vaccination. Heart ultrasound reading was 47 before and after 2nd dose was 37 on 01Jun2021. The reporter wonder if this related to study out of Israel called myocarditis. The patient''s hospitalization was prolonged as a result of the event. The patient underwent lab tests and procedures which included blood test. Since the vaccination, the patient has been tested for COVID-19. Outcome of the event was unknown. Information on the lot/batch number has been requested.

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