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 1346964



Case Details

VAERS ID: 1346964 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-16
Onset:2021-05-22
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE, MULTI VITAMIN, VITAMIN D
Current Illness: NONE
Preexisting Conditions: UNDERACTIVE THYROID
Allergies: PENICILLIN SEASONAL ALLERGIES
Diagnostic Lab Data:
CDC Split Type:

Write-up: RASH ON UPPER ARM OF INJECTION SITE. ON FOURTH DAY OF RASH GETTING REDDER AND BIGGER EACH DAY. DOES NOT ITCH OR HURT.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1346964


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