National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/30/2020 release of VAERS data (an older release, current is 7/16/2021):

This is VAERS ID 904349

Case Details

VAERS ID: 904349 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: North Dakota  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Computerised tomogram, Lipase, Nausea, Pancreatitis acute, Vomiting
SMQs:, Acute pancreatitis (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: singulair, albuterol, Adderall XR, Symbicort, clonidine, B12 supplement, omeprazole, fexofenadine, fluoxetine, Mirena, levothyroxine, lorazepam, oxcarbazepine, Phenergan, Vitamin D3
Current Illness:
Preexisting Conditions: Bipolar 1, Severe persistent Asthma, Morbid Obesity
Diagnostic Lab Data: lipase, CT scan
CDC Split Type:

Write-up: acute, mild pancreatitis, associated with symptoms associated with Nausea and vomiting and abdominal pain. Patient''s symptoms started 1 day after her vaccination.

New Search

Link To This Search Result:

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