Adverse Event Reporting

VAERS ID 903400
Gender Female
Age 55
StateCode NY
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EK5730
Number of vaccinations 1
Vaccinated 2020-12-17
Onset 2020-12-17
Condition Hospitalized Life Threatening
  • Feeling hot
  • Flushing
  • Dyspnoea
  • Intensive care
  • Wheezing
  • Urticaria
  • Dyskinesia
  • Respiratory arrest

Current Illness


Preexisting Conditions

Severe allergies

Other Medications

Atorvastatin 20 mg once daily

Previous Vaccinations

Rabies vaccine


Fish Iodine Shellfish Rabies vaccine

Laboratory Data



5 minutes after the Pfizer Covid-19 vaccine administration, the patient developed flushing, hives, felt warm and eventually short of breath.
She started to wheeze and was wheeled into ER c/o "I can't breathe while holding throat and thrashing with facial flushness noted.
PT took 2 Benadryls and had several Epi shots.
She was then discharged from the ER and later on that day, started to feel short of breath again.
In the ED today she was audibly gasping for air, however had no wheezing, had a normal saturation and a normal blood pressure.
She had taken another dose of her EpiPen IM and diphenhydramine 50 mg by mouth prior to coming.
She was then admitted to the hospital for further observation.
While on the floor, she started to feel short of breath again (about 9 am on 12/18/2020), which required an RRT .
Patient received another dose of diphenhydramine IV, methylprednisolone 125 mg IV and several doses of IM epinephrine.
She also required oxygen.
She was then transferred to an ICU for further care.