VAERS ID: 2265777

AGE: 50| SEX: M|STATE: HI (United States)

Description

Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: Pt is aware of allergic reaction (swelling of eyes), he informed me that he's done this before. I've given pt two benadryls right after the shot and monitored pt for 30 minutes to make sure nothing happened to him. No allergic reaction happened after giving benadryl

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Hypersensitivity, Swelling face, Eye swelling, Swollen tongue, Mouth swelling

Vaccines

VAX DATE: 05-02-2022| ONSET DATE: 05-02-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 4 COVID19 PFIZER\BIONTECH fk9894 IM LA

RECVDATE:05-06-2022
RPT_DATE:
CAGE_YR:50
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:05-06-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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