National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1368419

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368419
VAERS Form:2
Age:14.0
Sex:Female
Location:Idaho
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Extensire
Current Illness: N/A
Preexisting Conditions: Yes Cardiac transplant
Allergies: Tobramycin Verapamin Triliptal
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Light headed, dizziness Vitals: BP 122/70 HR 86 Resp 20 O2Sat 96 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally Initial Treatment: Moved patient to triage, placed in supine recovery position, gave patient juice box 6:02 PM Vitals: BP 125/68 HR 84 Resp 20 O2Sat 96 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally 6:17 PM Vitals: BP 110/62 HR 88 Resp 24 O2Sat 96 Skin Signs: Warm and dry Circulation: 1 Respiratory: Breath sound clear bilaterally Notes: Clinic lead advised parent to take patient to hospital if symptoms worsen or left baseline. Patient released with parent.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368419&WAYBACKHISTORY=ON


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