Adverse Event Reporting
| VAERS ID | 912271 |
|---|---|
| Gender | Male |
| Age | 50 |
| StateCode | LA |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK5730 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-16 |
| Onset | 2020-12-17 |
| Condition | Hospitalized Life Threatening |
Symptoms
- Pyrexia
- Dyspnoea
- Intensive care
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Subject received vaccination Wednesday Dec 16th in the afternoon.
He became symptomatic (shortness of breath, low grade fever) the next day.
Went to the Emergency room on Saturday Dec.
26th, 2020 due to shortness of breath, had an 02 Sat of 60%, and was hospitalized in the ICU at another hospital (due to bed unavailability).