National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1328026

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328026
VAERS Form:2
Age:15.0
Sex:Female
Location:California
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Pallor

Life Threatening? No
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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Pt reported lightheadedness and was found to be diaphoretic and pale after vaccine administration. She was laid down on a gurney with legs elevated, V/S monitored for 45 minutes and given apple juice po.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328026&WAYBACKHISTORY=ON


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