VAERS ID: |
906282 (history) |
Form: |
Version 2.0 |
Age: |
55.0 |
Sex: |
Female |
Location: |
Missouri |
Vaccinated: | 2020-12-20 |
Onset: | 2020-12-20 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-21 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Aphasia,
Dyspnoea,
Hypopnoea,
Intensive care,
Throat clearing,
Wheezing SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (broad), Respiratory failure (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: Other Medications: IVIG, Mestinon, Lisinopril, Immodium, Advil, Imuran, Baclofen Current Illness: Preexisting Conditions: Myastheniz Gravis, Multiple Sclerosis, PCOS, HTN Allergies: IVIG, Tecfideral, Atropine Diagnostic Lab Data: unknown CDC Split Type:
Write-up: Given the vaccine at 712 pm on 12/20/20. At approximately 715 pm, she began to clear her throat and then became unable to speak, followed by audible wheezes and short, shallow breaths. At 1923, Epinephrine was administered. At 1928, she was able to speak again and was transported to the ED. The patient reports after arrival to the ER, the symptoms returned. She was given PO Benadryl, followed by IV Benadryl, and then a 2nd dose of Epinephrine. She was admitted to the ICU for observation. |