National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1775437

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775437
VAERS Form:2
Age:76.0
Sex:Female
Location:Indiana
Vaccinated:2021-10-08
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 3 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Hyperhidrosis, 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: Pristiq, Synthrois, Tamoxifin, Multivitamins, Calcium with D2 and E2
Current Illness: cancer
Preexisting Conditions: fibromyalgia, hypothroidism
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nauseous, chills, sweats, fever reached 104.3 Rest, Ibuprofen, ice

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1775437&WAYBACKHISTORY=ON


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