From the 4/26/2024 release of VAERS data:

This is VAERS ID 902900

Government Disclaimer on use of this data

Case Details

VAERS ID:	902900 (history)
Form:	Version 2.0
Age:	34.0
Sex:	Male
Location:	Oklahoma

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	EK5730 / 1	LA / IM

Administered by: Private Purchased by: ?
Symptoms: Chills, Malaise, Nausea, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: lexapro
Current Illness: none
Preexisting Conditions: major depression, generalized anxiety disorder
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Day 0 of injection that evening , experienced fevers, chills, rigors, malaise. Day 1 morning experienced nausea

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902900