Adverse Event Reporting
| VAERS ID | 904334 |
|---|---|
| Gender | Female |
| Age | 29 |
| StateCode | OR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EJ1685 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-19 |
| Onset | 2020-12-19 |
| Condition | Life Threatening Recovered |
Symptoms
- Dyspnoea
- Tachycardia
- Urticaria
- Angioedema
- Full blood count normal
- Metabolic function test normal
Current Illness
none
Preexisting Conditions
none
Other Medications
none
Previous Vaccinations
Allergies
shrimp and eggs
Laboratory Data
CBC and BMP - normal
Write-up
Angioedema, hives, tachycardia, shortness of breath