National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1304417

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1304417
VAERS Form:2
Age:37.0
Sex:Female
Location:New York
Vaccinated:2021-05-02
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 - / SYR

Administered by: Public      Purchased by: ??
Symptoms: Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Pfizer 4/11/2021 , fever and fatigue
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin and sulfa
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Resting heart rate of 117bpm and fever of 103.8(39.9C)

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1304417&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166