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This is VAERS ID 1265952

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1265952
VAERS Form:2
Age:23.0
Sex:Male
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthma, Cyanosis, Dyspnoea, Pallor, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALBUTEROL SULFATE; CLARITIN-D
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Eczema
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Nasal Swab/Covid 19 test; Result Unstructured Data: Test Result:Negative
CDC 'Split Type': USPFIZER INC2021405881

Write-up: Asthma triggered throughout the day in shorter spans of time; hard time inhaling air, shortness of breath; blue lips; pale; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 23-years-old via an unspecified route of administration, administered in arm left on 10Apr2021 10:15 (Batch/Lot Number: EP7533) as single dose for covid-19 immunisation. Medical history included asthma and eczema from an unknown date and unknown if ongoing. Concomitant medications included albuterol sulfate and loratadine, pseudoephedrine sulfate (CLARITIN-D); all taken for an unspecified indication, start and stop date were not reported. The patient reported that his asthma triggered throughout the day in shorter spans of time, hard time inhaling air, shortness of breath on 11Apr2021 11:00; emergency Albuterol Sulfate inhaler not working to help, had to go to ER where they gave steroids for his lungs and breathing and out him in oxygen. He was told that he had blue lips and was pale on 11Apr2021 11:00. He was in ER for 4-6 hrs then hospitalized for one day to monitor and gave medicine. Then he was advised to go to the doctor and get referral for pulmonologist for asthma. Basically all of Sunday, his asthma would get triggered few hours then got short within every 30 min then every 5 min and inhaler stopped working to help the situation. Diagnosed with asthma since kid but had no serious issues prior to vaccination, only after vaccination. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. The patient was hospitalized due to the events for 1 day. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 11Apr2021. Therapeutic measures were taken as a result of the events which included treatment with Steroid, IV Fluids, Albuterol, Advent, oxygen tank. The patient was recovering from the events.


Changed on 5/7/2021

VAERS ID: 1265952 Before After
VAERS Form:2
Age:23.0
Sex:Male
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthma, Cyanosis, Dyspnoea, Pallor, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALBUTEROL SULFATE; CLARITIN-D
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Eczema
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Nasal Swab/Covid 19 test; Result Unstructured Data: Test Result:Negative
CDC 'Split Type': USPFIZER INC2021405881

Write-up: Asthma triggered throughout the day in shorter spans of time; hard time inhaling air, shortness of breath; blue lips; pale; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 23-years-old via an unspecified route of administration, administered in arm left on 10Apr2021 10:15 (Batch/Lot Number: EP7533) as single dose for covid-19 immunisation. Medical history included asthma and eczema from an unknown date and unknown if ongoing. Concomitant medications included albuterol sulfate and loratadine, pseudoephedrine sulfate (CLARITIN-D); all taken for an unspecified indication, start and stop date were not reported. The patient reported that his asthma triggered throughout the day in shorter spans of time, hard time inhaling air, shortness of breath on 11Apr2021 11:00; emergency Albuterol Sulfate inhaler not working to help, had to go to ER where they gave steroids for his lungs and breathing and out him in oxygen. He was told that he had blue lips and was pale on 11Apr2021 11:00. He was in ER for 4-6 hrs then hospitalized for one day to monitor and gave medicine. Then he was advised to go to the doctor and get referral for pulmonologist for asthma. Basically all of Sunday, his asthma would get triggered few hours then got short within every 30 min then every 5 min and inhaler stopped working to help the situation. Diagnosed with asthma since kid but had no serious issues prior to vaccination, only after vaccination. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. The patient was hospitalized due to the events for 1 day. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 11Apr2021. Therapeutic measures were taken as a result of the events which included treatment with Steroid, IV Fluids, Albuterol, Advent, oxygen tank. The patient was recovering from the events.


Changed on 5/14/2021

VAERS ID: 1265952 Before After
VAERS Form:2
Age:23.0
Sex:Male
Location:Florida
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 1 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthma, Cyanosis, Dyspnoea, Pallor, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALBUTEROL SULFATE; CLARITIN-D
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Eczema
Allergies:
Diagnostic Lab Data: Test Date: 20210411; Test Name: Nasal Swab/Covid 19 test; Result Unstructured Data: Test Result:Negative
CDC 'Split Type': USPFIZER INC2021405881

Write-up: Asthma triggered throughout the day in shorter spans of time; hard time inhaling air, shortness of breath; blue lips; pale; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose at the age of 23-years-old via an unspecified route of administration, administered in arm left on 10Apr2021 10:15 (Batch/Lot Number: EP7533) as single dose for covid-19 immunisation. Medical history included asthma and eczema from an unknown date and unknown if ongoing. Concomitant medications included albuterol sulfate and loratadine, pseudoephedrine sulfate (CLARITIN-D); all taken for an unspecified indication, start and stop date were not reported. The patient reported that his asthma triggered throughout the day in shorter spans of time, hard time inhaling air, shortness of breath on 11Apr2021 11:00; emergency Albuterol Sulfate inhaler not working to help, had to go to ER where they gave steroids for his lungs and breathing and out him in oxygen. He was told that he had blue lips and was pale on 11Apr2021 11:00. He was in ER for 4-6 hrs then hospitalized for one day to monitor and gave medicine. Then he was advised to go to the doctor and get referral for pulmonologist for asthma. Basically all of Sunday, his asthma would get triggered few hours then got short within every 30 min then every 5 min and inhaler stopped working to help the situation. Diagnosed with asthma since kid but had no serious issues prior to vaccination, only after vaccination. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care and hospitalization. The patient was hospitalized due to the events for 1 day. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 11Apr2021. Therapeutic measures were taken as a result of the events which included treatment with Steroid, IV Fluids, Albuterol, Advent, oxygen tank. The patient was recovering from the events.

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