Adverse Event Reporting

VAERS ID 903047
Gender Female
Age 52
StateCode NY
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations 1
Vaccinated 2020-12-16
Onset 2020-12-16
Condition
Symptoms
  • Headache
  • Dizziness
  • Circumstance or information capable of leading to medication error
  • Syncope

Current Illness

Preexisting Conditions

Other Medications

Vitamin C, Omeprazole

Previous Vaccinations

Allergies

none

Laboratory Data

Write-up

Employee states that there was confusion at the time of vaccine injection, and that she was possibly given a second injection right after the first.
approximately 45 minutes later she experienced headache and dizziness and had an observed syncopal episode.
She was taken to the ER, evaluated for MI.
Was found to be stable and was discharged.