VAERS ID: |
902998 (history) |
Form: |
Version 2.0 |
Age: |
59.0 |
Sex: |
Female |
Location: |
Montana |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-16 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-17 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Arthralgia,
Chills,
Decreased appetite,
Fatigue,
Headache,
Myalgia,
Nausea,
Pain in extremity,
Pyrexia SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: None CDC Split Type:
Write-up: Morning after injection: mild fatigue, arm soreness; later in the morning-headache then chills, muscle aches, joint pain and low grade fever (99) and nausea/loss of appetite. These persisted for approximately 12 hours then cleared completely. |