VAERS ID: 1004068

AGE: | SEX: F|STATE: FR (Unknown)

Description

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Hypotension, Somnolence, Malaise, Anaemia, Movement disorder, Ascites, Fatigue, Memory impairment, Decreased appetite, Laboratory test, Blood test, Chest X-ray, Balance disorder, Loss of consciousness, Electrocardiogram, Urine analysis, Blood glucose, Mobility decreased, Limb immobilisation, pH urine increased, Blood pressure measurement

Vaccines

VAX DATE: 01-09-2021| ONSET DATE: 01-01-2021| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ej0553-L452

RECVDATE:02-05-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.