VAERS ID: 902748

AGE: 34| SEX: F|STATE: PA (United States)

Description

Chills, Body Ache, Fever

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

Chills, Pyrexia, Pain

Vaccines

VAX DATE: 12-15-2020| ONSET DATE: 12-15-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH PA156051 Unknown RA

RECVDATE:12-16-2020
RPT_DATE:
CAGE_YR:34
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:N/a
V_ADMINBY:PVT
OTHER_MEDS:Levothyroxine , Wellbutrin , Bustar, trazodone , Lithium Carbonate ER , vistaril , Propranolol, MAXALT
CUR_ILL:COVID one week before
HISTORY:Bipolar Disorder
PRIOR_VAX:
SPLTTYPE:vsafe
FORM_VERS:
TODAYS_DATE:12-16-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NA
V_FUNDBY:

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