National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1769864

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1769864
VAERS Form:2
Age:25.0
Sex:Female
Location:Washington
Vaccinated:2021-10-03
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30145BA / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Costochondritis, Dyspnoea, Lymphadenopathy, Oedema peripheral, X-ray, Blood test

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: birth control
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Cardic work up, X-rays, blood work maybe more
CDC 'Split Type':

Write-up: Pt went to urgent care with chest pains and was sent to hospital. pt was hospitalized for a cardiac work up the day after being vaccinated with Pfizer. Presented to ER with chest pain, breathing issues, and a swollen lymph note under left arm. Pt received the Pfizer shot in her left arm. Diagnosis Costochondritis related to the vaccine treated with nsaid and sent home. Pain last a couple of more and has not completely resolve. Pt returned to work 10/7/21

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1769864&WAYBACKHISTORY=ON


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