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VAERS Report 2157441

Case Report Section

Vaer Report Details

Age: 36 years old

Gender: Female

State: Michigan

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: ew0176


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-04-28
Date of Onset
290
Number of days (onset date – vaccination date)
290
Adverse Event Description

patient is fully vaccinated and boosted. presents to ed with shortness of breath and corona virus concerns.positive for headache. patient reports a 1 week history of cough and shortness of breath. on arrival, satting 98% on room air. not tachycardic. normal vitals otherwise. troponin negative, ekg unremarkable. requires no supplemental therapies. discharged home

Lab Data
na
List of symptoms
headache cough dyspnoea troponin normal electrocardiogram normal
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Private
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na