VAERS ID: |
903094 (history) |
Form: |
Version 2.0 |
Age: |
38.0 |
Sex: |
Female |
Location: |
Wisconsin |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-17 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Chills,
Dizziness,
Fatigue,
Feeling cold,
Heart rate increased,
Hypertension,
Incoherent,
Tinnitus SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (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: Vitamin D3, C, Zinc Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive) Preexisting Conditions: None Allergies: Penicillin Diagnostic Lab Data: None CDC Split Type: vsafe
Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued. |