National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 983350

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 983350
VAERS Form:2
Age:57.0
Sex:Female
Location:North Dakota
Vaccinated:2021-01-07
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced a blood clot on January 11th. She is unsure if it is related to the vaccine or not.


Changed on 5/14/2021

VAERS ID: 983350 Before After
VAERS Form:2
Age:57.0
Sex:Female
Location:North Dakota
Vaccinated:2021-01-07
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: penicillin penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced a blood clot on January 11th. She is unsure if it is related to the vaccine or not.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=983350&WAYBACKHISTORY=ON


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