National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 906060

Government Disclaimer on use of this data



Case Details

VAERS ID: 906060 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Feeling hot, Headache, Malaise, Pain, Peripheral swelling, Pruritus, Rash, Rhinorrhoea, Urticaria, Vaccination site pain
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allopurinol, Glipizide, Metformin, Toprol XL, Lotrel 5/20, Pepcid, Singulair, Atorvastatin, Fish Oil, Vitamin C, Vit D3, Magnesium, CoQ10, Multivitamin, Cinnsulin, & Baby Aspirin. Albuterol inhaler and Alvesco inhaler.
Current Illness: None
Preexisting Conditions: Diabetes Type 2, Hypertension, Gout, Asthma, & Respiratory Allergies
Allergies: None
Diagnostic Lab Data: Not applicable
CDC Split Type:

Write-up: 7 hours post vaccine, I had very runny nose, thick clear mucus kept coming out of my nose. I felt feverish although my temperature is within normal limits. I had a mild headache and very sore arm on the vaccine site, body aches and malaise which I know are part of the list of side effects I would experience post vaccine, but then about midnight, I developed a huge rash or hive near my left armpit. Then, on Sunday, 12/20/2020, more big hives appeared on my body and my left hand is very itchy and the palm looked red and more swollen than my right hand. I took some antihistamine and notified my doctor via an e-mail. He told me to take diphenhydramine 50 mg every 6 hours. The hives are still present and much bigger and appear in more areas of my body.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=906060


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