VAERS ID: 905996

AGE: 51| SEX: F|STATE: TN (United States)

Description

~1 h 15 min after receiving experienced flushing, dizziness, near-fainting, arrhythmia, progressed rapidly to a rapid heart rate, elevated BP, hives, cool extremities, diaphoretic treatment: NS 1 liter, Benadryl 50 mg IV, Solumedrol 125 mg/ml discharged after 6 h with Rx for Epi Pen experienced dizziness/near-fainting episodes off/on for 3 days, slight headache, chest tightness, green/bloody nasal discharge for 2 days

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Symptoms

Dizziness, Urticaria, Headache, Arrhythmia, Laboratory test, Chest discomfort, Chest X-ray, Electrocardiogram, Presyncope, Flushing, Blood pressure increased, Heart rate increased, Peripheral coldness, Troponin, Nasal discharge discolouration

Vaccines

VAX DATE: 12-18-2020| ONSET DATE: 12-18-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EJ1685 IM LA

RECVDATE:12-21-2020
RPT_DATE:
CAGE_YR:51
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:12/18/2020 CXR, EKG, Chemistry, Cardiac troponin
V_ADMINBY:PVT
OTHER_MEDS:Synthroid, Armour, Vit D3, Vit C, Vit B12, Zinc, Rx Ophtalamic steroid
CUR_ILL:chemical burn to eyes bilateral from cleaning solution
HISTORY:hypothryoidism
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-21-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:PCN, sulfa drugs
V_FUNDBY:

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