VAERS ID: 902491

AGE: 41| SEX: F|STATE: NE (United States)

Description

Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always > 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged.

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Symptoms

Dizziness, Headache, Dyspnoea, Nausea, Erythema, Blood pressure increased

Vaccines

VAX DATE: 12-15-2020| ONSET DATE: 12-15-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EH9899 IM Unknown

RECVDATE:12-15-2020
RPT_DATE:
CAGE_YR:41
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance
CUR_ILL:
HISTORY:Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease) Spinal headache headache with steroid injection to the back. Uses contact lenses
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-15-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Gabapentin Adhesive Duloxetine
V_FUNDBY:

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