National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 903481

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903481
VAERS Form:2
Age:57.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Heart rate increased

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:
Current Illness: none
Preexisting Conditions: heart disease, has a pacer/defibrillator
Allergies: no allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 5-7 min after injection she felt flushed face and "as if they were checking my pacer" "so my heart rate revved up a little" She sat down and the feeling resolved within 15 min


Changed on 12/30/2020

VAERS ID: 903481 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Heart rate increased

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:
Current Illness: none
Preexisting Conditions: heart disease, has a pacer/defibrillator
Allergies: no allergies allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 5-7 min after injection she felt flushed face and "as if they were checking my pacer" "so my heart rate revved up a little" She sat down and the feeling resolved within 15 min


Changed on 5/7/2021

VAERS ID: 903481 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Heart rate increased

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:
Current Illness: none
Preexisting Conditions: heart disease, has a pacer/defibrillator
Allergies: no allergies allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 5-7 min after injection she felt flushed face and "as if they were checking my pacer" "so my heart rate revved up a little" She sat down and the feeling resolved within 15 min


Changed on 5/21/2021

VAERS ID: 903481 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Heart rate increased

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:
Current Illness: none
Preexisting Conditions: heart disease, has a pacer/defibrillator
Allergies: no allergies allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 5-7 min after injection she felt flushed face and "as if they were checking my pacer" "so my heart rate revved up a little" She sat down and the feeling resolved within 15 min

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903481&WAYBACKHISTORY=ON


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