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 956442



Case Details

VAERS ID: 956442 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-01-10
Onset:2021-01-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Laboratory test, Petechiae
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: famotidine hydroxyzine losartan verapamil tretinoin
Current Illness: rhinitis reported 12/31/20
Preexisting Conditions: GERD, vertigo dysmenorrhea
Allergies: gadobutrol latex
Diagnostic Lab Data: pending
CDC Split Type:

Write-up: shortness of breath at the time of vaccine, petechiae appeared the next day


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=956442

Government Disclaimer on use of this data


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