National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts.org |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902842 |
VAERS Form: | 2 |
Age: | 53.0 |
Sex: | Female |
Location: | Missouri |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | AR / IM |
Administered by: Work Purchased by: ??
Symptoms: Erythema, Head discomfort
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: advair, albuterol, azelastine,clotrimazole, duoneb, flonase, meloxicam, metformin, singular, nucala, probiotic, spiriva, Theo-24,
Current Illness:
Preexisting Conditions: Asthma
Allergies: oxycodone,codiene, Nickel, Penicillin, augmentin
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Scratching head, redness to hands
Copyright ©
2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166