Adverse Event Reporting

VAERS ID	1073703
Gender	Female
Age	40
StateCode
Pharmaceutical Company	JANSSEN
Lot Number	1805022
Number of vaccinations	1
Vaccinated	2021-03-04
Onset	2021-03-04
Condition	Recovered

Symptoms

• Paraesthesia oral

Current Illness

Preexisting Conditions

Other Medications

N/A

Previous Vaccinations

Allergies

NKA

Laboratory Data

Write-up

PT ARRIVED IN OBSERVATION AREA, AND STATED THAT SHE FELT TINGLING AROUND HER LIPS.
VS WERE INITIATED.
3:52PM HR 90 BP 126/64 O2 96%.
MONITIORED VS EVERY TEN MINUTES.
PT WAS ADMINESTERED 25 MG OF DIPHEHYDRAMINE 0.
5 ML AT 4:05PM.
AT 4:30 PT STATED THAT THEY STILL FELT TINGLING.
ANOTHER DOSE OF 25MG OF DIPHENHYDRAMINE WAS ADMINESTERED.
MONITORED PATIENT FOR AN ADDITIONAL 30 MINUTES.
PT WAS ESCORTED BY SPOUSE STABLE.