National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 903079

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903079
VAERS Form:2
Age:26.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: NA
Preexisting Conditions: Na
Allergies: NKDA
Diagnostic Lab Data: NA
CDC 'Split Type': vsafe

Write-up: Around 630pm I began to have a really bad had a bad headache, feverish and body aching. Tenderness in the injection site area which eventually turned into full body aches and was tired. No vomiting or nausea. No redness at the site or injection site issues


Changed on 12/24/2020

VAERS ID: 903079 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: NA
Preexisting Conditions: Na
Allergies: NKDA NKDA
Diagnostic Lab Data: NA
CDC 'Split Type': vsafe

Write-up: Around 630pm I began to have a really bad had a bad headache, feverish and body aching. Tenderness in the injection site area which eventually turned into full body aches and was tired. No vomiting or nausea. No redness at the site or injection site issues


Changed on 12/30/2020

VAERS ID: 903079 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: NA
Preexisting Conditions: Na
Allergies: NKDA NKDA
Diagnostic Lab Data: NA
CDC 'Split Type': vsafe

Write-up: Around 630pm I began to have a really bad had a bad headache, feverish and body aching. Tenderness in the injection site area which eventually turned into full body aches and was tired. No vomiting or nausea. No redness at the site or injection site issues


Changed on 5/7/2021

VAERS ID: 903079 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: NA
Preexisting Conditions: Na
Allergies: NKDA NKDA
Diagnostic Lab Data: NA
CDC 'Split Type': vsafe

Write-up: Around 630pm I began to have a really bad had a bad headache, feverish and body aching. Tenderness in the injection site area which eventually turned into full body aches and was tired. No vomiting or nausea. No redness at the site or injection site issues


Changed on 5/21/2021

VAERS ID: 903079 Before After
VAERS Form:2
Age:26.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Headache, Injection site pain, Pain, Pyrexia

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: NA
Preexisting Conditions: Na
Allergies: NKDA NKDA
Diagnostic Lab Data: NA
CDC 'Split Type': vsafe

Write-up: Around 630pm I began to have a really bad had a bad headache, feverish and body aching. Tenderness in the injection site area which eventually turned into full body aches and was tired. No vomiting or nausea. No redness at the site or injection site issues

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903079&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166