National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 1417901



Case Details

VAERS ID: 1417901 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWU196 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins, zinc
Current Illness: Tooth infection. Prescribed antibiotics which I finished 2 days before the vaccine
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: June 21 - Covid test. Results were available on the spot (15 minutes)
CDC Split Type:

Write-up: I had my injection on June 18. I started experiencing chills, body aches, fatigue on June 20. Yesterday morning (June 21) I felt even worse and knew I was running a fever. I went to see a doctor. My fever turned out to be high - 100.4 (oral) and I tested positive for Covid. I wish I didn?t take the vaccine


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1417901


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