National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/17/2021 release of VAERS data:

This is VAERS ID 1366342

Case Details

VAERS ID: 1366342 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Oklahoma  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Chest pain, Dizziness, Electrocardiogram normal, Pain, Pallor, Panic attack, Peripheral coldness, Pruritus
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, 10.0 - 12.5, wellbutrin, hormone pellets, multi vitamins, D3, zinc, magnesium, calcium, omegas, collagen powder, B complex
Current Illness: Gall Bladder removal
Preexisting Conditions: allergy induced asthma
Allergies: wasp venom
Diagnostic Lab Data: EKG in ambulance (I believe thats what it was) BP, pulse etc. all was normal except bp it was high then came down within half hour. Took two more Benadryl once home. So far so good!
CDC Split Type:

Write-up: Itching across chest from left to right arm (within 10-15 minutes of vaccine) moved down right arm, around ankles, up the back of neck on the right all within about 20 minutes. Dizziness, inner ear itchiness, stabbing in right front chest to the back, hands ice cold and very pale all over within 30 minutes. No hives anywhere. Liquid Benadryl, double dose administered about 15 minutes in, held in mouth for about 20 seconds before swallowing. Of course panic set in, focused on slow, deep breaths, outer ear itchiness and neck all around my neck. Called ambulance while pharmacist observed me on the floor laying down. Ambulance assessed BP was high, oxygen was 100%, started feeling better, dizziness stopped and itching almost gone, within an hour of Benadryl dose. Family member drove me home. Released from ambulance, not taken to ER or Urgent care.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166