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||- / 3||RA / IM|
Administered by: Senior Living Purchased by: ??
Symptoms: Chills, Injection site erythema, Injection site pain, Pyrexia, Injection site swelling, Extra dose administered, SARS-CoV-2 test negative
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Fluticasone Propionate daily Rx for my allergy symptoms (runny nose & sneezing); OTC Amberen daily for my hot flushes; Tylenol 500 mg 2x/day since evening of 10/4/21 for booster site pain
Current Illness: Upper respiratory infection 9/15 - 9/17, s/p antibiotics
Preexisting Conditions: Chronic low back pain; on/off hypoglycemia
Allergies: No known allergy
Diagnostic Lab Data: Covid-19 rapid test this morning, 10/6/2021 at 0800 - Negative
CDC 'Split Type':
Write-up: Injection site pain, redness, swelling, chills & low grade fever. (Covid-19 Booster received on Monday, 10/4/2021 at 0850. At night, my right deltoid injection site started to be painful, Tylenol PM 100 mg at 2130 for pain and sleep. The following morning, 10/5/2021, more pain noted on injection site, +swelling and redness to the site, Tylenol 1000 mg taken at 0700 for pain before going to work. In the afternoon 10/5/2021, at around 1430 chills noted. Home by 1700 checked temperature at 1730 = T38.2, Tylenol 1000 mg taken for fever and pain). 10/6/21 morning-No more fever but will with pain, redness and swelling on the right arm/deltoid injection site.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166