Adverse Event Reporting
| VAERS ID | 903132 |
|---|---|
| Gender | Female |
| Age | 40 |
| StateCode | AK |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK5730 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-17 |
| Onset | 2020-12-17 |
| Condition | Life Threatening |
Symptoms
- Throat tightness
- Wheelchair user
Current Illness
None
Preexisting Conditions
Hypertension h/o LTBI (treated)
Other Medications
Amlodipine 2.5 mg daily Hydrochlorothiazide 37.5 mg daily Losartan 50 mg bid Metoprolol 50 mg daily Albuterol inhaler as needed
Previous Vaccinations
Influenza vaccine containing eggs
Allergies
Chicken, reaction throat tightness Chocolate, throat tightness Egg, throat tightness Shellfish, rash and throat tightness
Laboratory Data
Write-up
40 year female received Pfizer-BioNTech COVID-19 Vaccine today Patient reported prior h/o severe allergic reaction to influenza vaccine with eggs preservative.
She has received flu vaccine w/o egg w/o problem.
Due to her prior history of severe allergic reaction/ anaphylaxis to another vaccine, in this case flu vaccine with eggs, we should proceed with caution.
She was told we could defer vaccination until more information becomes available.
She opted to proceed with receiving Pfizer-BioNTech COVID-19 Vaccine and be observed for 30 minute observation period.
Patient developed throat tightening approximately 20 minutes after vaccination.
She received EpiPen within 1 minute of symptoms and was sent to ER immediately in wheelchair by nursing staff.
Patient was evaluated in ED and was hemodynamically stable.
She was given IV benadryl and was stable throughout observation