National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts.org |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902759 |
VAERS Form: | 2 |
Age: | 44.0 |
Sex: | Female |
Location: | Indiana |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Arthralgia, Chills, Pain, Pyrexia, Injection site swelling, Injected limb mobility decreased
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Protein Shake whey, Hair, skin and nail Vitamins
Current Illness: Fever and chills, but was not diagnosed with a illness
Preexisting Conditions: Chiari malformation , Inflammatory bowel disease.
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type': v-safe
Write-up: Fever , chills, Body Ache all over body, Joint Pain (worse in hips ) Injection site swollen The PT cannot life her arm
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Arthralgia, Chills, Pain, Pyrexia, Injection site swelling, Injected limb mobility decreased
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Protein Shake whey, Hair, skin and nail Vitamins
Current Illness: Fever and chills, but was not diagnosed with a illness
Preexisting Conditions: Chiari malformation , Inflammatory bowel disease.
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type': v-safe vsafe
Write-up: Fever , chills, Body Ache all over body, Joint Pain (worse in hips ) Injection site swollen The PT cannot life her arm
Copyright ©
2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166