Adverse Event Reporting

VAERS ID 903009
Gender Female
Age
StateCode WV
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations 1
Vaccinated 2020-12-17
Onset 2020-12-17
Condition
Symptoms
  • Confusional state
  • Dizziness
  • Chills
  • Nausea
  • Visual impairment
  • Blood glucose normal
  • Cold sweat

Current Illness

no

Preexisting Conditions

Heart arrhythmia

Other Medications

Heart arrhythmia medication.

Previous Vaccinations

Allergies

kna

Laboratory Data

Pulse ox : 97 blood sugar tested 90 after orange juice.
BP130/80 p 127

Write-up

Patient complained of vision disturbance confusion dizziness, chills, clammy, no trouble breathing.
Nausea, Patient stated she did not have any breakfast.
gave patient diphenhydramine 25 mg and EMS arrived to take her to the hospital.