National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 903527

Government Disclaimer on use of this data



Case Details

VAERS ID: 903527 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
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: Chest discomfort
SMQs:, Anaphylactic reaction (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: Metformin, Glipizide, Nifedipine, Ferrous Sulfate, Cyanocobalamin, Pantoprazole, Cholecalciferol, Cetirizine, Montelukast
Current Illness: Sinus infection and urinary tract infection.
Preexisting Conditions: Diabetes, Hypertension, Chronic Sinusitis, Asthma
Allergies: Codeine, Reglan, Coconuts, Sage, Rabbit Brush, Oak tree, Juniper tree, Pine tree, Pinon tree, Cottonwood tree, Various types of mold strains.
Diagnostic Lab Data:
CDC Split Type:

Write-up: After receiving injection 14-15 minutes after I started to get chest tightness. I took two puffs of inhaler and walked to triage room to be monitored for another twenty minutes. I took two more puffs of inhaler and chest tightness went away a few minutes after. No other reactions occurred and was cleared to leave after twenty minutes.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903527


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