National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1374530

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1374530
VAERS Form:2
Age:77.0
Sex:Male
Location:Texas
Vaccinated:2021-05-24
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash macular, Contusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PATIENT CAME IN AND SAID ARM WAS SPLOTCHY WITH BRUISES AND UPPER ARM FELT KNOTTED UP ABOUT A WEEK AFTER GETTING A PFIZER COVID SHOT. PATIENT DOESN''T RECALL HITTING HIS ARM ANYWHERE. UPON QUESTIONING, PT IS ON BLOOD THINNERS. ARM IS NOT RED, RAISED, AND DOES NOT HAVE A RASH.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1374530&WAYBACKHISTORY=ON


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