National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 1440077



Case Details

VAERS ID: 1440077 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-26
Onset:2021-06-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure measurement, Cardiomegaly, Heart rate, Heart rate increased, X-ray
SMQs:, Cardiac failure (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ATORVASTATIN CALCIUM; LEVOTHYROXINE SODIUM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: High cholesterol; Thyroidectomy
Allergies:
Diagnostic Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:110/55; Test Name: pulse rate; Result Unstructured Data: Test Result:50-60; Comments: normal pulse; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:over 180; Comments: 9 days after shot; Test Date: 20210606; Test Name: X-ray; Result Unstructured Data: Test Result:slight enlarged heart
CDC Split Type: USPFIZER INC2021766664

Write-up: slight enlarged heart; went to ER for heart rate of over 180; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received bnt162b2, via an unspecified route of administration, administered in left arm on 26May2021 10:30 (Lot Number: Ew0177) as dose 2, single at the age of 55-year-old for covid-19 immunisation. The patient was not pregnant. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Medical history included high cholesterol from an unknown date, thyroid removal in 2011. The patient had no known allergies. Historic vaccine was bnt162b2, via an unspecified route of administration, administered in left arm on 06May2021 10:30 (Lot Number: Ew0167) as dose 1, single at the age of 55-year-old for covid-19 immunisation. Concomitant medications included atorvastatin calcium 10 mg, levothyroxine sodium 100, all taken for an unspecified indication, within 2 weeks of vaccination. 9 days after shot (04Jun2021) the patient went to ER for heart rate of over 180, sent home and had to go to ER 3 more than mrs within a 7 day period the last time they admitted her for 2 days. The patient did not have heart issues nor high blood pressure or any heart disease. She ran 110/55 normal pulse 50-60. The patient now had to see a cardiologist and he wanted to do a monitor. The patient had never had to go through this ever until this shot. They took X-rays and it showed an slight enlarged heart (06Jun2021 03:30 as reported). The patient was so upset the shot had done this to her. The patient underwent lab tests and procedures which included 9 days after shot (04Jun2021) heart rate of over 180; blood pressure: 110/55, normal pulse: 50-60 on an unknown date; x-ray: an slight enlarged heart on 06Jun2021. The adverse events resulted in emergency room/department or urgent care and physician office visit. The seriousness of events was hospitalization for 2 days from Jun2021. Therapeutic measures were taken as a result of events which included a pill to regulate to restart her heart. The outcome of events was unknown.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440077


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166