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 1443092



Case Details

VAERS ID: 1443092 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-06-28
Onset:2021-06-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody negative, Blood creatine phosphokinase normal, C-reactive protein increased, Chest X-ray normal, Full blood count normal, HIV test negative, Lymphadenopathy, Metabolic function test, Monocyte count increased, Paraesthesia, Red blood cell sedimentation rate normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: non. Hives with tylenol.
Diagnostic Lab Data: Labs-CBC with smear, BMP, CRP, HIV, CK, ANA, SED RATE-ALL WNL EXCEPT FOR CRP 5.9. AND MONOCYTES 924. Chest x-ray completed 6/29/21-wnl. Wil repeat CRP, TROPONION, CBC, BNP in 1-2 weeks in July
CDC Split Type:

Write-up: Day after 2nd COVDI 19 vaccine patient presented with painful supracalvicular lymphadenopathy x2. Also had mild intermittent tingling in right arm.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1443092


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