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||EW0162 / 2||LA / IM|
Administered by: Private Purchased by: ??
Symptoms: Asthenia, Lymphadenopathy, Muscular weakness, Pain, Pain in extremity, Paraesthesia, Tenderness, Immediate post-injection reaction
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: None
Current Illness: 09/01/2021- allergies- took Zyrtec which resolved symptoms. Took COVID test: negative
Preexisting Conditions: None
Diagnostic Lab Data: observation, referral to PCP, follow up in 5-7 days. Instructed to go immediately to ER if symptoms should worsen, weakness/numbness or if her symptoms increase.
CDC 'Split Type':
Write-up: Reports immediately after IM injection of second dose of COVID vaccine, developed shooting pain into left arm/left side of collar bone. Reports she woke up this morning - noticed left supraclavical lymph node swelling and tenderness and "tingling like pins and needles" from knees extending to feet bilaterally. Reports onset of symptoms 09/30/2021 at 0530 am treatment: follow up with PCP or seek medical attention right away (ER or 911) should symptoms worsen, weakness/numbness or worsening tingling to bilateral lower extremity, shortness of breath, chest pain, or change in neurological status. will follow up with team member health care clinic in 5-7 days or sooner as needed
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