National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 1757282

Government Disclaimer on use of this data



Case Details

VAERS ID: 1757282 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30145BA EXP: 11 / UNK LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Chills, Decreased appetite, Diarrhoea, Fatigue, Hallucination, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amiodarone, Xarelto, Furosemide, Klor-Con Potassium, Fish Oil, Vit D34, Magnesium Oxide, Levothyroxine, Galantamine,
Current Illness: none known
Preexisting Conditions: none
Allergies: Pamipexole
Diagnostic Lab Data: No tests but reported to Dr. and spoke with nurse at his office as well as nurse at Health. Nurse at Dept said she had same reaction on her 2nd dose. Both nurses assured us that is this ''normal'' reaction and would go away in 24-48 hours. Had a major ''fever break'' event on 10/1/21 about 6 am. Several other friends have had similar problems, BUT they probably don''t take the time to report.
CDC Split Type:

Write-up: Fever, weakness/exhaustion, hallucinations (playing game that didn''t exist), chills, feeling unwell, decreased appetite, loose bm,


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1757282


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