This is VAERS ID 909165

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	RA / -

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Dizziness, Dyspnoea, Loss of consciousness, Pain in extremity, Laboratory test

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: Synthroid and lo loestrin fe
Current Illness: Some nasal congestion
Preexisting Conditions: Hypo thyroidism dx within the past year
Allergies: Seasonal allergies to trees and grass otherwise no known allergies
Diagnostic Lab Data: EKG 12/21 Chest X-ray 12/21 BP / spo2 / HR 12/21 Immune response labs 12/23 unsure of exact labs ordered by pcp
CDC 'Split Type':

Write-up: At the time of the injection sharp pain across my back , then at about 5 mins after feelings of light headedness, progressing pain across my back, trouble feeling like I could get enough air in with breathing and dizziness and I tried to get to the floor to sit or lay down but passed out. Then the next event I recall was a sharp pain in my thigh(apparently administered Eli pen) . I regained consciousness and was gasping andI was told I had been given a shot of epi.

New Search