Adverse Event Reporting

VAERS ID 903016
Gender Female
Age 54
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EK5730
Number of vaccinations 1
Vaccinated 2020-12-16
Onset 2020-12-16
Condition Recovered
  • Hypoaesthesia
  • Flushing
  • Paraesthesia
  • Tremor
  • Dyspnoea
  • Panic attack
  • Anaphylactic reaction
  • Chest X-ray
  • Laboratory test
  • Respiratory rate increased

Current Illness

Preexisting Conditions

migraine, obstructive sleep apnea

Other Medications

Previous Vaccinations


clindamycin, clotrimazole, dihydroergotamine, IV contrast medium, prochlorperazine, promethazine, sumatriptan

Laboratory Data


Approximately 11 minutes after receiving the vaccine, the patient complained of shortness of breath, tingling in arms and hands, numbness and tingling in legs and feet, and was observably shaking, with no complaints of swelling in throat or other signs of anaphylaxis.
Patient was brought to ER in same facility via stretcher and was examined by staff there.
ER report states the patient presented with shortness of breath and what appeared to be a panic attack, with fast breathing, slight flushing, and shaking.
Per ER report, the patient was treated for an acute anaphylactic reaction, with clear lungs and given an EpiPen shot in the right thigh.
IV was initiated and given a fluid bolus, solu medrol, famotidine, and lorazepam.
Labs and a chest x-ray done and reviewed.
After treatment, patient found to be stable and was discharged home at 4:42 pm with orders for famotidine, albuterol inhaler, and epinephrine pen.