Adverse Event Reporting
| VAERS ID | 908003 |
|---|---|
| Gender | Female |
| Age | 44 |
| StateCode | MI |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | ELO140 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-21 |
| Onset | 2020-12-21 |
| Condition | Hospitalized Life Threatening Recovered |
Symptoms
- Chest discomfort
- Dyspnoea
- Throat tightness
- Tachycardia
- Anaphylactic reaction
- Electrocardiogram
Current Illness
none
Preexisting Conditions
none
Other Medications
Ibuprophen
Previous Vaccinations
Allergies
Gadolinium MRI dye
Laboratory Data
EPINEPHRINE, SOLUMEDROL, BENADRYL, PEPCID, EKG (ST).
12/21 3:14PM REPEAT EVENT 12/22 WITH ADMISSION TO OBS UNIT FOR OBSERVATION
Write-up
ANAPHLACTIC REACTION, SOB, CHEST PRESSURE, TIGHTNESS IN THROAT, TACHYCARDIA