| Days after vaccination:||0
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH
||EK5130 / 1
||LA / IM
Administered by: Private Purchased by: ?
SMQs:, Angioedema (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Other Medications: Proair HFA inhaler, Benzoyl Peroxide 10% Gel, Clindamycin 1% Gel, Tretinoin 0.05% Cream
Current Illness: Acne
Preexisting Conditions: Asthma, Allergic Rhinitis
Diagnostic Lab Data: No labs ordered. Only vitals taken as reported above in Item 18.
CDC Split Type:
Write-up: Patient experienced mild alllergic reaction starting at 4:19pm. The ER staff came to tend to the patient. The patient reported dizziness and weakness. Her vitals are as follows: BP 142/80, O2-99% on room air, Pulse-98, Resp Rate-18, Temp-97.3F. The patient was taken to the ER and received Benadryl 50mg IV and an Epipen. The patient''s pain was 0/10. The patient was reported stable at 4:27pm.