National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1775512

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775512
VAERS Form:2
Age:73.0
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 - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Abdominal discomfort, Chills, Fatigue, Injection site erythema, Injection site warmth, Pain, Injection site swelling

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: Annuity Ellipta, losarten ,spironolactone,montelukast
Current Illness: None
Preexisting Conditions: Asthma, high blood pressure
Allergies: Erythromycin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Large red bump at injection sight. Warm to the touch. Chills, body aches ,upset stomach & fatigue all day 10/09/2021 & 10/10/2021

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1775512&WAYBACKHISTORY=ON


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