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This is VAERS ID 908207

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 908207
VAERS Form:2
Age:49.0
Sex:Female
Location:New York
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactoid reaction, Blood pressure increased, Dysphagia, Electrocardiogram abnormal, Flushing, Oral discomfort, Sinus tachycardia, Tongue discomfort

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: unknown
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: erythromycin
Diagnostic Lab Data: vitals, ECG
CDC 'Split Type':

Write-up: Patient experienced an anaphylactoid reaction within 20 mins of receiving the vaccine. Patient is a physician and attempted to self treat with diphenhydramine. After a short time of seemingly no resolution patient presented to the Emergency Department. Patient was examined. Elevated BP was noted (192/100), flushing, difficulty swallowing, and strange sensation of mouth and tongue were also present. An ECG was preformed and sinus tachycardia was observed at 105bpm. Patient received IM epinephrine and PO dexamethasone. Symptoms resolved. Patient was observed for 3-4 more hours.


Changed on 5/7/2021

VAERS ID: 908207 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:New York
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactoid reaction, Blood pressure increased, Dysphagia, Electrocardiogram abnormal, Flushing, Oral discomfort, Sinus tachycardia, Tongue discomfort

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: unknown
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: erythromycin erythromycin
Diagnostic Lab Data: vitals, ECG
CDC 'Split Type':

Write-up: Patient experienced an anaphylactoid reaction within 20 mins of receiving the vaccine. Patient is a physician and attempted to self treat with diphenhydramine. After a short time of seemingly no resolution patient presented to the Emergency Department. Patient was examined. Elevated BP was noted (192/100), flushing, difficulty swallowing, and strange sensation of mouth and tongue were also present. An ECG was preformed and sinus tachycardia was observed at 105bpm. Patient received IM epinephrine and PO dexamethasone. Symptoms resolved. Patient was observed for 3-4 more hours.


Changed on 5/14/2021

VAERS ID: 908207 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:New York
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactoid reaction, Blood pressure increased, Dysphagia, Electrocardiogram abnormal, Flushing, Oral discomfort, Sinus tachycardia, Tongue discomfort

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: unknown
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: erythromycin erythromycin
Diagnostic Lab Data: vitals, ECG
CDC 'Split Type':

Write-up: Patient experienced an anaphylactoid reaction within 20 mins of receiving the vaccine. Patient is a physician and attempted to self treat with diphenhydramine. After a short time of seemingly no resolution patient presented to the Emergency Department. Patient was examined. Elevated BP was noted (192/100), flushing, difficulty swallowing, and strange sensation of mouth and tongue were also present. An ECG was preformed and sinus tachycardia was observed at 105bpm. Patient received IM epinephrine and PO dexamethasone. Symptoms resolved. Patient was observed for 3-4 more hours.

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