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From the 11/26/2021 release of VAERS data:

This is VAERS ID 908943

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Case Details

VAERS ID: 908943 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Oregon  
Vaccinated:2020-12-20
Onset:2020-12-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Anaphylactic reaction, Blood pressure increased, Dysphonia, Enlarged uvula, Hypoaesthesia oral, Lip erythema, Lip swelling, Livedo reticularis, Nausea, Paraesthesia oral, Pruritus, Stridor, Tonsillar hypertrophy
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), 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: Birth control
Current Illness: No
Preexisting Conditions: Underlying Asthma
Allergies: Pollen, Mold, Pet Dander
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: Received vaccine before shift. Within 10-15 mins bilateral back of the tongue numbness and tingling. Walked to ER (my department) and asked charge nurse for Zyrtec. Advised to stay and be monitored, opted not to be checked in to ER. BP 146/105, 126-120 BP, abnormally high. Experienced red lips, itchy hands and feet, ''frog in throat'' feeling. Convinced to check into ER. Swollen uvula, tonsils, lips red/swollen, stridorous breathing. Checked in to ER, given IV Benadryl, fluid, prednisone, and Pepcid. Hands and feet were mottled. Confirmed anaphylactic reaction. Became nauseous, given Zofran. Given Epi in left shoulder. Stayed for 4 hours for continued monitoring. Symptoms started to subside. Also given inhaled albuterol. Discharged w/ Benadryl, Pepcid, prednisone 5 days course, and prescription for Epi.


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