Adverse Event Reporting

VAERS ID 904553
Gender Female
Age 31
StateCode GA
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EJ1685
Number of vaccinations
Vaccinated 2020-12-20
Onset 2020-12-20
Condition Life Threatening
  • Paraesthesia
  • Dyspnoea
  • Heart rate increased
  • Lip swelling

Current Illness

Pink eye

Preexisting Conditions


Other Medications

Albuterol, Symbicort, Spiriva

Previous Vaccinations



Laboratory Data


Within a few minutes of taking the vaccine, my lower lip began swelling.
I was moved to the emergency department of Hospital and monitored and treated for four hours.
Then I was released.
At around 1:30 p.
I felt my skin singling and started having difficulty breathing.
Since I was no longer at my work (Hospital) I went to the closest hospital.
This reaction was much worse.
My husband drove.
My heart rate increased.
I was released at around 6:30 pm