VAERS ID: 902778

AGE: 56| SEX: F|STATE: TX (United States)

Description

Swelling and numbness at injection side. Increased blood pressure 199/99. Immediate headache. Workplace clinic called hospital ER, clinic administered Benadryl. Symptoms resolved.

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Symptoms

Headache, Injection site swelling, Immediate post-injection reaction, Blood pressure increased, Injection site hypoaesthesia

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 EH789592671001 IM LA

RECVDATE:12-16-2020
RPT_DATE:
CAGE_YR:56
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:No
V_ADMINBY:WRK
OTHER_MEDS:metformin, glipizide, atorvastatin, ozempic, singulair, xopanex inhaler, xopenax nebulizer, epipen, flonase, pepcid AC, levothyroxine
CUR_ILL:radiation
HISTORY:Asthma, Diabetes, Capillary thyroid cancer (remission)
PRIOR_VAX:
SPLTTYPE:vsafe
FORM_VERS:
TODAYS_DATE:12-16-2020
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:shrimp, shellfish
V_FUNDBY:

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