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This is VAERS ID 905993

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 905993
VAERS Form:2
Age:48.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactoid reaction, Cough, Dysphonia, Headache, Hypersensitivity, Urticaria, X-ray normal, Sensation of foreign body, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen and Progesterone
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: No labs. Soft tissue XR of her neck confirmed my clinical examination of airway patency.
CDC 'Split Type':

Write-up: The patient was in her normal state of good health prior to the vaccination. Almost immediately after receiving the vaccination, she began having a headache, then got an urticarial rash. She then felt a "lump in [her] throat." She was coughing uncontrollably. She was brought immediately to the Emergency Department where I assessed her with my resident. She had signs of a Type I Hypersensitivity Reaction including a hoarse voice, globus feeling and diffuse urticaria. She was treated at the vaccination site in the hospital with Benadryl 50 mg PO prior to ED evaluation and she self-administered Ibuprofen 400 mg. She did not have stridor or airway swelling. She was able to speak in full sentences. She was NOT treated with epinephrine, as she was in stable respiratory condition and improved with Benadryl (as previously administered at the vaccination clinic, Pepcid IV and Solumedrol IV. My concern over this reaction is that the patient has NO PRIOR HISTORY OF ANY ALLERGIES AT ALL. I have read and seen in the media reports of anaphylaxis with a history of allergies, however, this is the first case I have heard of regarding an anaphylactoid reaction in a patient with no prior history.


Changed on 5/7/2021

VAERS ID: 905993 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactoid reaction, Cough, Dysphonia, Headache, Hypersensitivity, Urticaria, X-ray normal, Sensation of foreign body, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen and Progesterone
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE NONE
Diagnostic Lab Data: No labs. Soft tissue XR of her neck confirmed my clinical examination of airway patency.
CDC 'Split Type':

Write-up: The patient was in her normal state of good health prior to the vaccination. Almost immediately after receiving the vaccination, she began having a headache, then got an urticarial rash. She then felt a "lump in [her] throat." She was coughing uncontrollably. She was brought immediately to the Emergency Department where I assessed her with my resident. She had signs of a Type I Hypersensitivity Reaction including a hoarse voice, globus feeling and diffuse urticaria. She was treated at the vaccination site in the hospital with Benadryl 50 mg PO prior to ED evaluation and she self-administered Ibuprofen 400 mg. She did not have stridor or airway swelling. She was able to speak in full sentences. She was NOT treated with epinephrine, as she was in stable respiratory condition and improved with Benadryl (as previously administered at the vaccination clinic, Pepcid IV and Solumedrol IV. My concern over this reaction is that the patient has NO PRIOR HISTORY OF ANY ALLERGIES AT ALL. I have read and seen in the media reports of anaphylaxis with a history of allergies, however, this is the first case I have heard of regarding an anaphylactoid reaction in a patient with no prior history.


Changed on 5/14/2021

VAERS ID: 905993 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactoid reaction, Cough, Dysphonia, Headache, Hypersensitivity, Urticaria, X-ray normal, Sensation of foreign body, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogen and Progesterone
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE NONE
Diagnostic Lab Data: No labs. Soft tissue XR of her neck confirmed my clinical examination of airway patency.
CDC 'Split Type':

Write-up: The patient was in her normal state of good health prior to the vaccination. Almost immediately after receiving the vaccination, she began having a headache, then got an urticarial rash. She then felt a "lump in [her] throat." She was coughing uncontrollably. She was brought immediately to the Emergency Department where I assessed her with my resident. She had signs of a Type I Hypersensitivity Reaction including a hoarse voice, globus feeling and diffuse urticaria. She was treated at the vaccination site in the hospital with Benadryl 50 mg PO prior to ED evaluation and she self-administered Ibuprofen 400 mg. She did not have stridor or airway swelling. She was able to speak in full sentences. She was NOT treated with epinephrine, as she was in stable respiratory condition and improved with Benadryl (as previously administered at the vaccination clinic, Pepcid IV and Solumedrol IV. My concern over this reaction is that the patient has NO PRIOR HISTORY OF ANY ALLERGIES AT ALL. I have read and seen in the media reports of anaphylaxis with a history of allergies, however, this is the first case I have heard of regarding an anaphylactoid reaction in a patient with no prior history.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=905993&WAYBACKHISTORY=ON

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