National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1350417

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1350417
VAERS Form:2
Age:38.0
Sex:Male
Location:Unknown
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cold sweat, Dizziness

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:
Current Illness:
Preexisting Conditions:
Allergies: Allergies to PCN
Diagnostic Lab Data: Pulse: 83 bpm Respiration: 18 SPO2: 97% B/P 110/80
CDC 'Split Type':

Write-up: AE: Patient had not eaten prior to vaccine, started getting dizzy and clammy after receiving vaccine. Tx: no medications, Symptoms improved with crackers and water. outcome: patient improved spontaneously without medication. patient was discharged home.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350417&WAYBACKHISTORY=ON


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