VAERS ID: |
902725 (history) |
Form: |
Version 2.0 |
Age: |
80.0 |
Sex: |
Male |
Location: |
Virginia |
Vaccinated: | 2020-12-14 |
Onset: | 2020-12-16 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Mobility decreased,
Pain in extremity SMQs:, Parkinson-like events (broad), Tendinopathies and ligament disorders (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: I take one baby asprin daily, one fish oil pill daily and one vitamin c tablet daily Current Illness: No illnesses Preexisting Conditions: No Allergies: I don''t have any allergies to medications or food. Diagnostic Lab Data: None CDC Split Type:
Write-up: I experienced a sore arm and could not lift my arm. |