National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 7/23/2021 release of VAERS data:

This is VAERS ID 1328975



Case Details

VAERS ID: 1328975 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-15
Onset:2021-05-18
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Adverse reaction, Contusion, Flushing, Limb discomfort, Pain
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Toenail fungus, DJD right elbow
Allergies: None
Diagnostic Lab Data: Medical opinion sought on the evening of the 18th. Examined by PA at 9-10PM. Further treatment recommended including bloodwork referral if symptoms worsen/recur.
CDC Split Type:

Write-up: Typically reported aches along with flushness of skin, especially both arms. Adverse condition was mild blue and black bruising over 10 to 15% of both legs - calves and thighs. Majority of bruising faded over a 6 to 8 hour following its discovery.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328975


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