Adverse Event Reporting

VAERS ID 905544
Gender Female
Age 56
StateCode
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EJ1685
Number of vaccinations 1
Vaccinated 2020-12-18
Onset 2020-12-18
Condition Life Threatening Recovered
Symptoms
  • Dizziness
  • Tremor
  • Dyspnoea
  • Injection site oedema
  • Tachycardia
  • Feeling jittery

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Pt expressed feeling tachycardic, jittery, shaky, site edema, shortness of breath and dizziness.
Pt received epipen 0.
3 mg IM injection x1 dose and benadryl PO, responded favorably and transported to ED for follow up care.