National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1430435

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430435
VAERS Form:2
Age:49.0
Sex:Male
Location:Arizona
Vaccinated:2021-06-26
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Pallor, Syncope

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: Tetanus vaccine.
Other Medications: Trazodone
Current Illness: No other illnesses reported
Preexisting Conditions: No chronic health conditions reported
Allergies: No known drug allergies
Diagnostic Lab Data: Fire department came to check all the vitals.
CDC 'Split Type':

Write-up: Syncope symptoms; became pale; sweating; dizziness. Recovered in 15 minutes. Fire department came to check all the vitals. Patient and his wife declined to go to the hospital. His wife reported that he ate the night before and was on empty stomach. The same symptoms occurred when patient received the tetanus vaccine before.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430435&WAYBACKHISTORY=ON


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