National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1376022

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376022
VAERS Form:2
Age:51.0
Sex:Male
Location:California
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: 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:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: At 1320 pt. c/o light headedness and dizziness, vital signs included 106/90, 80bpm, RR=18, T=98.1, @98% RA. Pt. was helped to a supine position with legs elevated and deep breaths were encouraged. At 1331 Bp=150/85, RR=18, HR=82, T=98.2 @97% RA. PT. reported symptoms subsiding . At 1343, pt. reported symptoms had fully subsided and felt stable in all positions. pt. was d/c home shortly after. pt. incurred no falls or traumas while at the clinic.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1376022&WAYBACKHISTORY=ON


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