National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 903938

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903938
VAERS Form:2
Age:29.0
Sex:Female
Location:Texas
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site induration, Injection site pain, Injection site rash, Injection site warmth, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Microgestin
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: 6:11PM: 185/71 Temp 98.2 sat 98% HR85
CDC 'Split Type':

Write-up: rash appeared at site of injection, very painful, hot to touch, hard, with rash spreading to torso


Changed on 12/30/2020

VAERS ID: 903938 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Texas
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site induration, Injection site pain, Injection site rash, Injection site warmth, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Microgestin
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: 6:11PM: 185/71 Temp 98.2 sat 98% HR85
CDC 'Split Type':

Write-up: rash appeared at site of injection, very painful, hot to touch, hard, with rash spreading to torso


Changed on 5/7/2021

VAERS ID: 903938 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Texas
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site induration, Injection site pain, Injection site rash, Injection site warmth, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Microgestin
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: 6:11PM: 185/71 Temp 98.2 sat 98% HR85
CDC 'Split Type':

Write-up: rash appeared at site of injection, very painful, hot to touch, hard, with rash spreading to torso


Changed on 5/14/2021

VAERS ID: 903938 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Texas
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 EJ1685 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site induration, Injection site pain, Injection site rash, Injection site warmth, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Microgestin
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: 6:11PM: 185/71 Temp 98.2 sat 98% HR85
CDC 'Split Type':

Write-up: rash appeared at site of injection, very painful, hot to touch, hard, with rash spreading to torso

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903938&WAYBACKHISTORY=ON


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