National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/15/2021 release of VAERS data:

This is VAERS ID 951723



Case Details

VAERS ID: 951723 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-24
Onset:2021-01-04
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Anti-cyclic citrullinated peptide antibody negative, Antineutrophil cytoplasmic antibody increased, Antinuclear antibody, Biopsy skin abnormal, C-reactive protein normal, Cryoglobulins absent, Full blood count, Metabolic function test, Petechiae, Rash, Rash papular, Rash pruritic, Red blood cell sedimentation rate normal, Rheumatoid factor, SARS-CoV-2 test negative, Urine analysis
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Vasculitis (broad), Skin tumours of unspecified malignancy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cholecalciferol 1000 units estradiol 0.05 mg / 24 hrs imiquimod cream mometasone nasal spray prometrium 100 mg tretinoin 0.05% cream valacyclovir 500 mg
Current Illness: None.
Preexisting Conditions: lumbar spondylolisthesis menopausal hot flashes, joint pains, and vaginal dryness herpes allergic rhinitis history of reactive airways disease
Allergies: None.
Diagnostic Lab Data: CBC, CMP, UA, complement studies, ANA, anti CCP, RF, cryoglobulin, ESR, CRP within normal limits. ANCA study showed elevated anti-Saccharomyces cerevisiae antibody. COVID19 NAAT testing negative. Skin biopsy showed superficial and deep perivascular dermatitis with eosinophils.
CDC Split Type:

Write-up: About 10 days following the vaccine, developed an itchy, slightly painful, papular and petechial rash, primarily in underarms, arms, and legs. Antihistamine helped reduce symptoms. Rash has persisted, but improving.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=951723

Government Disclaimer on use of this data


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