National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1442709

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1442709
VAERS Form:2
Age:15.0
Sex:Female
Location:Maine
Vaccinated:2021-06-22
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Pain in extremity, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
CDC 'Split Type': USPFIZER INC2021770402

Write-up: whiteness on both hands, specifically on the fingers.; a sore arm down to her hand; This is a report from a Pfizer sponsored program received via a contactable consumer (patient''s mother). A 15-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiration date: not reported), via an unspecified route of administration, on 22Jun2021 (at the age of 15-year-old), as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization .The patient''s medical history and concomitant medications were not reported. After the vaccination, the patient experienced sore arm down to her hand and whiteness on both hands, specifically on the fingers on Jun2021. Reporter would like to know, what that is. The outcome of the events was unknown. Information on the lot/batch number has been requested

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1442709&WAYBACKHISTORY=ON


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