Received Mar 23, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | NA0739 | IM / LA |
Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Patient had an episode of a fib-Severe, Additional Details: Patient came in after an ER visit for a fib and told the technician he had an episode of a fib after receiving his vaccines on 3/10/2026. I did reach out to patient to see how he was doing. I have left 2 messages for him this week with no response., Other Vaccines: VaccineTypeBrand: RSV (Abrysvo); Manufacturer: Pfizer; LotNumber: MM9148; Route: IM; BodySite: L Deltoid; Dose: 1; VaxDate: 03/10/2026