Adverse Event Reporting
| VAERS ID | 921175 |
|---|---|
| Gender | Female |
| Age | 77 |
| StateCode | NJ |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EJ1686 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-03 |
| Onset | 2021-01-03 |
| Condition | Hospitalized Died |
Symptoms
- Dyspnoea
- Body temperature increased
Current Illness
CHF, COPD, DM, heart failure, anemia, sleep apnea
Preexisting Conditions
CHF, COPD, DM, heart failure, anemia, sleep apnea
Other Medications
Previous Vaccinations
Allergies
NKA
Laboratory Data
Epi pen 0.
3mg given, sent to ER
Write-up
Resident received Covid Vaccine, noted after 30 mins with labored breathing BP 161/77, HR 116, R 38, T 101.
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