National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1431316

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431316
VAERS Form:2
Age:53.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-04-27
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive, Asymptomatic COVID-19

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: acyclovir, albuterol nebs, diclofenac, fluticasone-salmeterol, gabapentin, hydroxyzine, montelukast, trazodone
Current Illness:
Preexisting Conditions: Vitamin D deficiency, seasonal affective disorder, reflux, radiculopathy - lumbosacral region, pes planus, obesity, neck pain, multiple allergies, herniated lumbar intervertebral disc, GERD, dysphagia, depression, COPD, chronic pain, ADD, asthma, arthritis, anxiety, allergic rhinitis, alcohol abuse, sleep difficulties, hypertension, hypertriglyceridemia, oral herpes simplex, benign neoplasm of breast, cervical spinal stenosis.
Allergies: aspirin, naproxen, jalapenos, gluten meal, salicylates, zofran.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt completed vaccination series for the COVID-19 Pfizer, with one dose received 4/6/2021 and the 2nd received 4/27/2021. Pt was seen at ED on 6/26/2021 for mental health related reasons, and tested positive for COVID-19 as part of routine admission screening. Medical notes indicate the patient was asymptomatic for COVID-19.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431316&WAYBACKHISTORY=ON


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