National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 942459

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 942459
VAERS Form:2
Age:62.0
Sex:Female
Location:Arizona
Vaccinated:2021-01-10
Onset:2021-01-12
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELO142 / 2 LA / SC

Administered by: Other      Purchased by: ??
Symptoms: Anaphylactic reaction, Chills, Fatigue, Full blood count, Lymphadenopathy, Pain in extremity, Pruritus, Rash, Urticaria

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, Montelukast, Pravastatin, Levothyroxin, Lorazepam. Florastor, Vitamin D3, baby ASA, Ocuvite,
Current Illness: bladder infection and oral cold sore
Preexisting Conditions: Hashimoto''s thyroiditis, asthma, Menierre''s disease,
Allergies: Bactrim, Cipro, Cantaloupe, and pineapple
Diagnostic Lab Data: CBC 1/12/21
CDC 'Split Type':

Write-up: 1st 24 hrs just arm soreness, 2nd 24 hrs itching and fatigue, 48 hrs, anaphylaxis, hives, rash, itching, lymph swelling, chills


Changed on 5/7/2021

VAERS ID: 942459 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Arizona
Vaccinated:2021-01-10
Onset:2021-01-12
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELO142 / 2 LA / SC

Administered by: Other      Purchased by: ??
Symptoms: Anaphylactic reaction, Chills, Fatigue, Full blood count, Lymphadenopathy, Pain in extremity, Pruritus, Rash, Urticaria

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, Montelukast, Pravastatin, Levothyroxin, Lorazepam. Florastor, Vitamin D3, baby ASA, Ocuvite,
Current Illness: bladder infection and oral cold sore
Preexisting Conditions: Hashimoto''s thyroiditis, asthma, Menierre''s disease,
Allergies: Bactrim, Cipro, Cantaloupe, and pineapple pineapple
Diagnostic Lab Data: CBC 1/12/21
CDC 'Split Type':

Write-up: 1st 24 hrs just arm soreness, 2nd 24 hrs itching and fatigue, 48 hrs, anaphylaxis, hives, rash, itching, lymph swelling, chills


Changed on 5/21/2021

VAERS ID: 942459 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Arizona
Vaccinated:2021-01-10
Onset:2021-01-12
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELO142 / 2 LA / SC

Administered by: Other      Purchased by: ??
Symptoms: Anaphylactic reaction, Chills, Fatigue, Full blood count, Lymphadenopathy, Pain in extremity, Pruritus, Rash, Urticaria

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, Montelukast, Pravastatin, Levothyroxin, Lorazepam. Florastor, Vitamin D3, baby ASA, Ocuvite,
Current Illness: bladder infection and oral cold sore
Preexisting Conditions: Hashimoto''s thyroiditis, asthma, Menierre''s disease,
Allergies: Bactrim, Cipro, Cantaloupe, and pineapple pineapple
Diagnostic Lab Data: CBC 1/12/21
CDC 'Split Type':

Write-up: 1st 24 hrs just arm soreness, 2nd 24 hrs itching and fatigue, 48 hrs, anaphylaxis, hives, rash, itching, lymph swelling, chills

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=942459&WAYBACKHISTORY=ON


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