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VAERS ID: | 909147 |
VAERS Form: | 2 |
Age: | 30.0 |
Sex: | Female |
Location: | Kentucky |
Vaccinated: | 2020-12-24 |
Onset: | 2020-12-24 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-25 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | RA / IM |
Administered by: Private Purchased by: ??
Symptoms: Cough, Electrocardiogram abnormal, Flushing, Hypertension, Paraesthesia, Tachycardia, Throat irritation, Pharyngeal swelling
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Hives developed after hepatitis B vaccine as a child, did not receive additional doses until college. At age 18, I received 3 do
Other Medications: None
Current Illness: Tested positive for Covid-19 on 11/14/2020
Preexisting Conditions: None
Allergies: Hepatitis B vaccine - hives Latex - rash Sulfa drugs - hives
Diagnostic Lab Data: EKG sinus tachycardia (12/24/20) No other tests or labs performed
CDC 'Split Type':
Write-up: Approximately 2 minutes after injection, felt flushed and tingly. This subsided, but developed a cough. Felt fine enough to leave the vaccination area after being monitored for 15 minutes. Cough continued, and developed a scratchy throat that eventually led to swelling of the throat at approximately 30-35 mins post administration. Sought care in the ED, where I was tachycardic and hypertensive. Received IV Benadryl, steroids, and IV fluids. Discharged home, but symptoms returned around 2pm. Sought care in a different ED, where I remained hypertensive and tachycardic. Received additional IV fluids, IV Benadryl and steroids. Eventually was treated with IM epinephrine after my heart rate was decreased to about 100bpm with IV metoprolol.
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