VAERS ID: |
902927 (history) |
Form: |
Version 2.0 |
Age: |
29.0 |
Sex: |
Male |
Location: |
Ohio |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-17 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Injection site pain,
Injection site swelling SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Injection Site pain/swelling Other Medications: Fluticasone nasal spray Current Illness: No Preexisting Conditions: Allergic rhinitis Allergies: No Diagnostic Lab Data: CDC Split Type:
Write-up: Injection site swelling and pain |