Adverse Event Reporting

VAERS ID 916741
Gender Female
Age 68
StateCode AR
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EH9899
Number of vaccinations 1
Vaccinated 2020-12-21
Onset 2020-12-22
Condition Permanent Disability
  • Fatigue
  • Pain in extremity
  • Peripheral swelling
  • Headache
  • Chills
  • Myalgia
  • Joint range of motion decreased
  • X-ray abnormal
  • Complex regional pain syndrome

Current Illness

had surgery R hand for advanced arthritis 11/16/20 - arthrodesis R thumb. was recuperating

Preexisting Conditions

Rheumatoid arthritis - mostly affecting R wrist well controlled seizure disorder DJD

Other Medications

phenobarbital 60mg HS hydroxychloroquin 400mg HS famotidine 20mg HS occas acetaminophen or ibu

Previous Vaccinations


bee stings

Laboratory Data

Dec 29th - saw surgeon.
had xray and exam --diagnosed with Reflex Sympathetic Dystrophy also seen by PT


on dec 22 I felt some myalgias, chills, fatigue, HA --quite normal.
That evening, noted small amount swelling R hand --I iced and took acetaminophen.
By Dec 25, hand very swollen and painful with decreased ROM all fingers