National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 903409

Government Disclaimer on use of this data



Case Details

VAERS ID: 903409 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Alabama  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LL / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Dysphonia, Hypersensitivity, Paraesthesia oral, Tongue disorder
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metropolol XL 25mg qday Synthroid 100mcg qday Leflunamide 20mg qday Lexapro 10mg qday Estradiol 2 mg qday Spironolactane 50mg qday Minocylcine 100mg qday Omeprazole 40mg qday Zyrtec 10mg qday Melantonin 5mg qday
Current Illness: None
Preexisting Conditions: PSORIATIC ARTHRITIS Thyroid GERD Cardiac arrtymias migraine
Allergies: Latex - hives and blisters Erythromyocin causes a rash. Can take other Myocin drugs
Diagnostic Lab Data: No labs or tests performed
CDC Split Type:

Write-up: Initial symptoms started in less than 5 minutes were tingling in the lips and tongue. Thickness feeling to the tongue. Progressed to hoarseness to voice that worsened. Received 50mg Benadryl chewable tablets. Symptoms continued to worsen. Epi pen injection in left thigh. 5 minutes later still no improvement and another Epi pen injection in right thigh. Monitored for 5 to 10 min and no improvement and was taken to the ER. In the ED, received IV fluids, IV Benadryl, IV Decadron and IV Pepcid. Monitored for 3 1/2 to 4 hour and discharged home with 3 days of Prednisone 60 mg and Benadryl po every 6 hours as long as allergic like symptoms persisted. 12/18 morning still with lip tingling and Asthma like symptoms. Voice is still in and out of hoarseness


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903409


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166