Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0175 / 1||RA / IM|
Administered by: Other Purchased by: ??
Symptoms: Anxiety, Hyperventilation, Hypotension, Malaise, Paraesthesia, Syncope, Vomiting
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Previous Vaccinations: Pt reported near syncope and severe anxiety with all injectable medicines/vaccines
Other Medications: None Known
Current Illness: None known
Preexisting Conditions: None known
Allergies: None reported by patient
Diagnostic Lab Data: Blood pressure 63/45 prior to EMS transport.
CDC 'Split Type':
Write-up: Pt reported severe anxiety and syncope when receiving injectable medication and blood draws. Pt was agreeable to receive vaccine and a plan was made ahead of time to administer to her in her vehicle with the seat laid flat. Upon receiving the vaccine, the pt immediately stated, " I don''t feel good" and began to hyperventilate and complaint of tingling in all extremities. Pt then vomited and an EMS crew on standby was notified to evaluate the patient. The patient was eventually transported to the ER due to near syncope and hypotension.
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