Adverse Event Reporting
| VAERS ID | 904504 |
|---|---|
| Gender | Male |
| Age | 60 |
| StateCode | MA |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EJ1685 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-19 |
| Onset | 2020-12-19 |
| Condition | Life Threatening Recovered |
Symptoms
- Throat tightness
- Angioedema
- Anaphylactic reaction
Current Illness
None
Preexisting Conditions
High cholesterol, psoriasis, gerd
Other Medications
Rosuvastatin, meloxicam, omeprazole, vitamin D
Previous Vaccinations
Allergies
Shellfish, iodine
Laboratory Data
None
Write-up
Throat closure (angioedema/anaphylaxis) requiring ambulance transport to Hospital emergency room and stay IV infusion of Benedryl, solumedrol, and Pepcid with excellent results.
Observed twelve hours, then discharged.