Adverse Event Reporting
| VAERS ID | 906988 |
|---|---|
| Gender | Female |
| Age | 52 |
| StateCode | AL |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK5730 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-22 |
| Onset | 2020-12-22 |
| Condition | Life Threatening |
Symptoms
- Nausea
- Lip swelling
- Wheezing
- Anaphylactic reaction
- Bilevel positive airway pressure
- Status asthmaticus
Current Illness
NONE KNOWN
Preexisting Conditions
ASTHMA
Other Medications
NONE KNOWN
Previous Vaccinations
Allergies
SULFA - ANAPHYLAXIS / EXERBATION OF ASTHMA
Laboratory Data
Write-up
PT WAS OBSRVED IN HOLDING AREA LEANING FORWARD IN HER CHAIR ABOUT 7 MINUTES AFTER RECIEVING THE VACINE.
RN ASSESSED AND NOTED: AUDIBLE WHEEZE, RESP 40/MIN, LIP SWELLING AND PT COMPLAINED OF NAUSEA.
PT WAS ESCORTED TO ER IN WHEELCHAIR ACCOMPANIED BY 2 RN'S (2 MINUTE WALK) ONE HOUR LATER - AS REPORTED BY DR (ER) WORKING DIAGNOSIS - ANAPHYLAXIS / STATUS ASTHMATICUS MEDS RECIEVED: SOLUMEDROL 125, DIPHENHYDRAMINE 50MG, FAMOTIDINE 20MG --ALL IV EPINEPHERINE 0.
3MG IM X1 FOLLOWED BY 0.
3MG IV X 1 FOLLOWED BY 0.
1MG IV X1 PT IS RECIEVING O2 - AND PROGRESSING TO BIPAP