Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0172 / 2||RA / IM|
Administered by: Unknown Purchased by: ??
Symptoms: Blood lactate dehydrogenase normal, C-reactive protein increased, Chest X-ray normal, Cough, Fibrin D dimer normal, Nasopharyngitis, Red blood cell sedimentation rate normal, COVID-19, SARS-CoV-2 test positive
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Insulin glargine, linsulin lispro
Preexisting Conditions: Type 1 diabetes
Allergies: No known allergies
Diagnostic Lab Data: 6/29/2021, Normal chest Xray, normal ESR, D-Dimer, and LDH. Mild elevation in CRP.
CDC 'Split Type':
Write-up: Pt received both doses of the Pfizer COVID-19 vaccine, on 3/31/21 and 4/20/21. He then presented to the ER on 6/29/2021 for an unrelated reason (DKA) and was tested per protocol for COVID-19 prior to admission. This test on 6/29/2021 was positive. Pt reports having a mild cold about a week ago, with a mild cough on presentation to the ER. EMR also indicates that he had COVID 12/2020 (fatigue, loss of taste, cough).
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166