Received Mar 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | — | — |
Reported Symptoms: 10013963:DYSPNEA; Narrative: A 49 yo male with PM.H of GERD, Carcinoma of Thyroid (status post thyroidectomy), Lumbar Radiculopathy, Hypothyroidism, Barrett's Esophagus and Exposure to potentially hazardous substance. On October 02, 2024, PCC RN reported the patient had a historical ADR of Covid-1, 9 vaccine induced Dyspnea. No other information was provided regarding treatment or the vaccine i.e. vaccine Mfg., lot #, Expiration date, where and who administered the vaccine, what time and when it occurred etc.) However the Med. Center indicated the patient received Pfizer Covid-19 Vaccine, Mrna, LPN-S, Pf, 30mcg/0.3ml on April 1 2021@9:00 and April 22, 2021@9:00AM. Both vaccines administered IM to R. deltoid and without complication. Administered by RN on the one in April 1, 2021 and by RN on the one on April 22, 2021. Other Relevant HX: Other DYSPNEA