National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 903518

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903518
VAERS Form:2
Age:29.0
Sex:Male
Location:Maine
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure decreased, Dizziness, Nausea, Palpitations, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: bisoprolol
Current Illness: none
Preexisting Conditions: pre hypertension
Allergies: no known allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: nausea, lightheadedness, and palpitations that occurred ~10 minute post injection with decreased blood pressures c/w vasovagal response, improved over a few minutes


Changed on 12/30/2020

VAERS ID: 903518 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Maine
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure decreased, Dizziness, Nausea, Palpitations, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: bisoprolol
Current Illness: none
Preexisting Conditions: pre hypertension
Allergies: no known allergies allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: nausea, lightheadedness, and palpitations that occurred ~10 minute post injection with decreased blood pressures c/w vasovagal response, improved over a few minutes


Changed on 5/7/2021

VAERS ID: 903518 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Maine
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure decreased, Dizziness, Nausea, Palpitations, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: bisoprolol
Current Illness: none
Preexisting Conditions: pre hypertension
Allergies: no known allergies allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: nausea, lightheadedness, and palpitations that occurred ~10 minute post injection with decreased blood pressures c/w vasovagal response, improved over a few minutes


Changed on 5/21/2021

VAERS ID: 903518 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Maine
Vaccinated:2020-12-18
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood pressure decreased, Dizziness, Nausea, Palpitations, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: bisoprolol
Current Illness: none
Preexisting Conditions: pre hypertension
Allergies: no known allergies allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: nausea, lightheadedness, and palpitations that occurred ~10 minute post injection with decreased blood pressures c/w vasovagal response, improved over a few minutes

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903518&WAYBACKHISTORY=ON


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