National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 909577

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/30/2020

VAERS ID: 909577
VAERS Form:2
Age:60.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-26
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dyspnoea, Full blood count, Swelling, Laboratory test

Life Threatening? Yes
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? Yes, days: 1
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Estrogen, Flonase, Protonix, Glucosamine, Albuterol
Current Illness: Viral respiratory infection
Preexisting Conditions: Allergic rhinitis, GERD, endometriosis
Allergies: Avocado, Banana, Latex, Neosporin, Nystatin, Sulfa, Pineapple
Diagnostic Lab Data: Routine chemistries, CBC
CDC 'Split Type':

Write-up: Dizziness, dyspnea, neck swelling

New Search


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