Adverse Event Reporting

VAERS ID 908973
Gender Female
Age 48
StateCode TX
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations
Vaccinated 2020-12-19
Onset 2020-12-19
Condition Hospitalized Life Threatening
Symptoms
  • Hypoaesthesia
  • Dizziness
  • Paraesthesia
  • Palpitations
  • Burning sensation

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

15 min after receiving Covid 19 vaccine patient started to feel like her heart was racing / felt faint.
Burning feeling in upper thigh and pelvic area.
BP 180/100 HR 130.
Rapid Response called / transported to ER.
Admitted for 24 hr observation.
.
Solu -medrol, Benadryl and Ativan given in ER.
Released home the next day.
72 hrs later patient states she has numbness and tingling in hands and feet.
12/24/2020 patient reports she is feeling better today / no symptoms noted.