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 1775422

Government Disclaimer on use of this data



Case Details

VAERS ID: 1775422 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-10-07
Onset:2021-10-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 3 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Axillary pain, Extra dose administered, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram 5mg once a day Calcium with vit D once a day Tylenol 1000mg three times a day for dental pain Ibuprofen 800mg three times a day for dental pain Miralax once a day Hydrocortisone and pramoxine rectal ointment once a day Nifedipi
Current Illness: Dental pain
Preexisting Conditions: Hemorrhoids
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Received the shot on a Thursday. Sunday morning when I woke up I noticed my left armpit was sore. This is the same side where I received the shot. I also noticed that there was some swelling in the area of the left armpit as well.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1775422


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