Adverse Event Reporting

VAERS ID 902946
Gender Male
Age 26
StateCode WV
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EH9899
Number of vaccinations 1
Vaccinated 2020-12-17
Onset 2020-12-17
Condition Life Threatening
Symptoms
  • Peripheral swelling
  • Angioedema

Current Illness

None

Preexisting Conditions

None

Other Medications

No

Previous Vaccinations

Allergies

Sulfa (oral)

Laboratory Data

na

Write-up

Swelling of hands follwed by angioedema