National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1713236

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1713236
VAERS Form:2
Age:28.0
Sex:Male
Location:Unknown
Vaccinated:2021-09-08
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Disorientation, Disturbance in attention, Feeling abnormal, Hypoaesthesia, Nausea, Presyncope, Visual impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D (2000), daily mens multivitamin
Current Illness:
Preexisting Conditions: Venous angioma and post-concussion syndrome
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Disorientation, mental fog, inability to focus, mood swings, numb arm, vision impairment (straight lines became wavy and when he moved his head it took time for his vision to catch up with where he was looking), nausea, loss of some motor function, and nearly blacked out.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1713236&WAYBACKHISTORY=ON


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