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From the 1/7/2022 release of VAERS data:

This is VAERS ID 906078

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Case Details

VAERS ID: 906078 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Erythema, Feeling hot, Headache, Hypertension, Tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed sudden onset of headache with hypertension (BP 205/112), tachycardia (HR 137), redness and hives around 10 minutes after receiving the Pfizer covid vaccine (time 1600). She described "feeling a wave of heat climbing from her feet up to her face". 911 called and patient was transported to ER at around 1630. Upon arrival her BP trended down to 129/89 with HR of 78. She did not report difficulty breathing, and she did not receive additional medications while in ER. She was monitored for around 2 hours and discharged at 1847.


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