This is VAERS ID 908969

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EK5730 / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Echocardiogram, Electrocardiogram abnormal, Nausea, Pain, Palpitations, Pyrexia, Ventricular arrhythmia, Ventricular extrasystoles, Laboratory test normal, Scan myocardial perfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin 81mg
Current Illness: None
Preexisting Conditions: Myasthenia Gravis
Allergies: Vancomycin
Diagnostic Lab Data: Complete lab work Nuclear stress test Echo cardiogram Multiple EKG''s
CDC 'Split Type':

Write-up: Starting that night 12/19/20 at approx 8pm I became nauseous with a 100.8f fever. I felt achy for the 2 days with the fever subsided. On Monday 12/21/20 I was at work (Firefighter) when I started to have palpitations. I was able to obtain a 12 lead EKG right away which showed a ventricular rhythm lasting for approx 5 min. After that I was having multiple PVC''s / Ventricular beats. I was taken to Hospital where I was admitted. Over night the rhythm subsided, all my labs were good with other test''s being done. I was discharged home. I have not had any other episodes since Monday. I was cleared by our Occ Health Doc who suggested I fill this out.

New Search