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 1486290

Case Details

VAERS ID: 1486290 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Wisconsin  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Chills, Ear discomfort, Injection site erythema, Insomnia, Pain, Pyrexia, Skin discomfort, Vaccination site swelling
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: B12 [CYANOCOBALAMIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Chronic migraine; Irritable bowel syndrome; Latex allergy; Vertigo
Diagnostic Lab Data: Test Date: 20210701; Test Name: Body temperature; Result Unstructured Data: Test Result:103-104
CDC Split Type: USPFIZER INC2021830905

Write-up: Inability to sleep; Body aches; Skin uncomfortable to touch,; 4 days with a fever; the first two with a fever between 103-104,; Injection site red and swollen to the circumference of a golf ball.; Injection site red and swollen to the circumference of a golf ball.; Severe body chills; On the 4th day after, my left ear(the same side I got the injection on) feels clogged up; This is a spontaneous report from a contactable consumer (patient). A 24-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 01Jul2021 11:30 (at the age of 24-years-old) as dose number unknown, single for covid-19 immunization. Facility where the most recent COVID-19 vaccine was administered: Pharmacy or Drug Store. The patient past Medical history included irritable bowel syndrome (IBS-C) from an unknown date and unknown if ongoing, vertigo from an unknown date and unknown if ongoing, chronic migraine from an unknown date and unknown if ongoing, known allergies for latex from an unknown date and unknown if ongoing. Concomitant medication(s) included cyanocobalamin (B12) supplement taken for an unspecified indication. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccine within 4 weeks prior to covid-19 vaccination. On 01Jul2021, the patient experienced injection site red and swollen to the circumference of a golf ball, 4 days with a fever; the first two with a fever between 103-104, inability to sleep, severe body chills, body aches, skin uncomfortable to touch, on the 4th day after, on unspecified date in Jul2021, her left ear (the same side she got the injection on) feels clogged up like there''s water in it. Adverse events resulted in doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included Body temperature: 103-104 on 01Jul2021. The patient was treated with pain relievers for fever and unspecified treatment for rest all other. The outcome for events was not recovered. Device date was 04Jul2021. Information on the lot/batch number has been requested.

New Search

Link To This Search Result:

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