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 1775779

Government Disclaimer on use of this data



Case Details

VAERS ID: 1775779 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Colorado  
Vaccinated:2021-10-10
Onset:2021-10-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3590 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Vital signs: BP: 140/70 Pulse: 100 RR: 18 SP02: 99%. BP: 125/70 Pulse: 85 RR: 16 SPO2: 99%
CDC Split Type:

Write-up: The patient felt lightheaded after his first dose of Pfizer. The patient had run 14 miles and had not had much to eat or drink today. He died any pain. AAOX3 and in no apparent distress. Good ROM and neuros intact. He denied that he was going to pass out. Patient was provided water 3 bottles of water and a granola bar. He was observed for 45 mins until he finished the water and granola bar. Patient stated he felt much better and left POV.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1775779


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