National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 902665

Government Disclaimer on use of this data



Case Details

VAERS ID: 902665 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Michigan  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EZ5730 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Cold sweat, Condition aggravated, Dizziness, Panic attack, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=902665


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166