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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902991 |
VAERS Form: | 2 |
Age: | 37.0 |
Sex: | Female |
Location: | Ohio |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | UN / IM |
Administered by: Private Purchased by: ??
Symptoms: Rash
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Augmentin - Sweilling
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: rash - treatment: acetaminophen and diphenhydramine
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