National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 902903

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/18/2020

VAERS ID: 902903
VAERS Form:2
Age:54.0
Sex:Female
Location:North Carolina
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Erythema, Oedema peripheral, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Hives - anthrax, flu unknown brand
Other Medications: Lotrel, Zyrtec, Zoloft, Albuterol and Prilosec
Current Illness: None reported
Preexisting Conditions: Asthma, Hypertension
Allergies: PCN, Lexapro
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Hives within 3 hours lasted 12 hours. Left Arm edema and erythema 24 hours

New Search


Copyright © 2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166