VAERS ID: 902949

AGE: 33| SEX: M|STATE: ND (United States)

Description

While waiting the 15 minute after vaccination the Patient noticed a "tingling" feeling in throat about 5 minutes after vaccine was given. Time: 0930 - Oxygen Saturation was 98% Pulse Rate 100. Patient stated that the feeling went away and then came back. Time: 0938 - Again vital signs were taken BP 156/88 Oxygen Saturation 100% Pulse Rate 83. Time: 0942 - 50 mg of Benadryl PO were given with water at this time. Patient was taken to ER for evaluation.

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Symptoms

Pharyngeal paraesthesia

Vaccines

VAX DATE: 12-17-2020| ONSET DATE: 12-17-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EH9899 SYR RA

RECVDATE:12-17-2020
RPT_DATE:
CAGE_YR:33
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:None
HISTORY:Congenital One Kidney
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-17-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Cat Dander - Reaction of Rash, Itchy Eyes
V_FUNDBY:

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