VAERS ID: 914067

AGE: 43| SEX: F|STATE: ID (United States)

Description

0835 Vaccine received. Pt recommended to predmedicate with Zyrtex and Motrin by PCP due to medical hx of lupus, Sjogrens, Fibromyagia. No other regularly scheduled medications. 20 minute Observation with no issues. Returned at 1030 with "All over itching". No breathing difficulty. Benadryl 50 mg PO given. BP 189/92 HR 122 RR 12. 02 Sat 100%. Temp 98.4. Similar VS after 5 mins . After 15 mins, BP 183/95, HR 72. Facial edema. No breathing difficulty or concerns. Transported to ED for continued care. Scheduled FU with Dr for today at 1530.

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Symptoms

Pruritus, Swelling face, Blood pressure increased, Heart rate increased

Vaccines

VAX DATE: 12-30-2020| ONSET DATE: 12-30-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EH9899 IM LA

RECVDATE:12-30-2020
RPT_DATE:
CAGE_YR:43
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:Pre-medicated with Zyrtek and Motrin
CUR_ILL:
HISTORY:Lupus, Fibromyalgia, Sjogrens.
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-30-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.