National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/8/2021 release of VAERS data:

This is VAERS ID 906394

Case Details

VAERS ID: 906394 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Mississippi  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Injection site pain, Vertigo
SMQs:, Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (narrow)

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, Losartan, Simvastatin, Vit D, Flomax
Current Illness:
Preexisting Conditions: Stable T2DM, Stable HTN, BPH, OA
Allergies: Penicillin, Tincture of Benzoin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Left UE injection site soreness 4 hours post. Severe vertigo approximately 10 hours after, lasting about 4 hours.

New Search

Link To This Search Result:

Government Disclaimer on use of this data

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