National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1759208

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759208
VAERS Form:2
Age:72.0
Sex:Female
Location:South Carolina
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 3 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Fatigue, Headache, Hypersomnia, Injection site pain, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vit d, coumadin, procardia, lisinopril
Current Illness: no
Preexisting Conditions: blood clots
Allergies: sulfa drugs, gabapentin, lorsartan, vit k, augmentin, levofloxacin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The evening after having the vaccine she started having uncontrollable chills and a high fever. At the injection site she was having pains, she was having headaches and nausea also the feeling of being extremely tired. She slept for 2 days.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1759208&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166