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This is VAERS ID 1415845

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415845
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH Y29E8 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Angina pectoris, Chest pain, Dyspnoea, Electrocardiogram, Hallucination, visual, Heart rate increased, Palpitations, 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)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Suspected COVID-19 (Unsure when symptoms stopped)
Allergies:
Diagnostic Lab Data: Test Name: BLOOD test; Result Unstructured Data: Test Result:unknown Results; Test Name: ECG; Result Unstructured Data: Test Result:No indication of issue on ECG; Comments: No indication of issue on ECG however heart sensation did not occur whilst on ECG, no reported issues with blood work from doctors; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021657970

Write-up: onset of pain in chest; shortness of breath; aching pain in heart; active heart rate higher than normal/ notable increase in resting heart rate (pre vaccine 65-75bmp, post vaccine 90-110); onset of pain in chest; Palpitations; This is a spontaneous report from a contactable consumer received from a regulatory authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106050807411950-IA6BR Safety Report Unique Identifier GB-MHRA-ADR 25425147. A 30-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 03Jun2021 (Lot Number: Y29e8) as single dose for COVID-19 immunisation. Medical history included suspected COVID-19 from 08Feb2020 (Unsure when symptoms stopped). Patient is not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced onset of pain in chest (hallucination, visual), shortness of breath on an unspecified date with outcome of not recovered, palpitations on 04Jun2021 with outcome of recovering, aching pain in heart, active heart rate higher than normal/ notable increase in resting heart rate (pre vaccine 65-75bmp, post vaccine 90-110) on an unspecified date with outcome of unknown, onset of pain in chest on an unspecified date with outcome of not recovered. The patient underwent lab COVID-19 virus test: No - Negative COVID-19 test on unknown date. Additional information: Onset of pain in chest, notable increase in resting heart rate (pre vaccine 65-75bmp, post vaccine 90-110) and active heart rate higher than normal whilst climbing stairs etc. Palpitations occurred frequently accompanied by aching pain in heart area and sometimes shortness of breath whilst palpitations occurred. Patient has not tested positive for COVID-19 since having the vaccine. Suspect Reactions: Please provide details of any relevant investigations or tests conducted: "Contacted 111, advised seeking further care at A&E (Accident & Emergency). A&E attended, ECG and blood work performed. No indication of issue on ECG however heart sensation did not occur whilst on ECG, no reported issues with blood work from doctors. " No follow-up attempts are possible. No further information is expected.

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