Adverse Event Reporting

VAERS ID 1277426
Gender Male
Age
StateCode WV
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EW0150
Number of vaccinations 2
Vaccinated 2021-04-01
Onset 2021-05-01
Condition Hospitalized Permanent Disability
Symptoms
  • Feeling hot
  • Dizziness
  • Nausea
  • Hypertension
  • Vomiting
  • SARS-CoV-2 test
  • Chest X-ray
  • Electrocardiogram
  • Metabolic function test
  • Differential white blood cell count
  • Troponin I
  • Angiogram
  • Influenza B virus test
  • Computerised tomogram head
  • Culture urine
  • Glycosylated haemoglobin
  • Influenza A virus test
  • Activated partial thromboplastin time
  • Prothrombin time
  • Blood magnesium
  • C-reactive protein
  • Red blood cell sedimentation rate
  • Echocardiogram
  • Blood creatine phosphokinase
  • Blood phosphorus
  • Thyroxine free
  • Full blood count abnormal
  • Liver function test
  • Scan with contrast
  • International normalised ratio
  • Metabolic function test abnormal
  • Urine analysis abnormal
  • Respiratory syncytial virus test
  • Blindness unilateral
  • Alanine aminotransferase
  • Aspartate aminotransferase
  • Blood glucose abnormal
  • Blood magnesium decreased
  • Magnetic resonance imaging head
  • Fundoscopy
  • Lipids abnormal
  • Blood thyroid stimulating hormone abnormal
  • Low density lipoprotein abnormal
  • Urine protein/creatinine ratio abnormal

Current Illness

Preexisting Conditions

Asthma, Diabetes, High blood pressure, high cholesterol, Stage 3 kidney failure

Other Medications

Amlodipine Besylate 10 MG Asprin Chew 81 MG B12 2500 MG Celecoxib 100 MG as needed Centrum Silver DHEA Tablet ? 50 MG Janumet 50-1000 QTY 2 Levalbuterol tartrate HFA Inhalation Aerosol 45 mcg/actation Levothyroxin Sodium 50 MGC Lisonopril 4

Previous Vaccinations

Allergies

Penicillin, Amoxycillin, Erythromycin

Laboratory Data

Test ResultsPrint this page in a printer-friendly format While Medicine providers check results frequently, please understand that in some instances you may see results prior to review by your provider.
If you have any concerns regarding test results, please contact your provider.
Search this list Search this list Show hospital results Test Ordered By Date The result is abnormalLab PROTEIN/CREATININE RATIO, URINE, RANDOM Apr 22, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 22, 2021 Lab TROPONIN-I (FOR ED ONLY) Apr 22, 2021 The result is abnormalLab CBC WITH DIFF Apr 22, 2021 Imaging ECG 12-LEAD Apr 22, 2021 The result is abnormalLab POC GLUCOSE Apr 17, 2021 Lab POC GLUCOSE Apr 17, 2021 The result is abnormalLab POC GLUCOSE Apr 16, 2021 The result is abnormalLab POC GLUCOSE Apr 16, 2021 The result is abnormalLab POC GLUCOSE Apr 16, 2021 The result is abnormalLab POC GLUCOSE Apr 16, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 16, 2021 Lab MAGNESIUM Apr 16, 2021 Lab PHOSPHORUS Apr 16, 2021 The result is abnormalLab CBC WITH DIFF Apr 16, 2021 Lab POC GLUCOSE Apr 16, 2021 Lab TROPONIN-I Apr 16, 2021 Lab C-REACTIVE PROTEIN(CRP),INFLAMMATION Apr 16, 2021 Lab COVID-19, FLU A/B, RSV RAPID BY PCR Apr 15, 2021 Imaging XR CHEST AP MOBILE Apr 15, 2021 The result is abnormalLab URINALYSIS, MACROSCOPIC Apr 15, 2021 Lab URINALYSIS, MICROSCOPIC Apr 15, 2021 Lab URINE CULTURE Apr 15, 2021 Imaging ECG 12-LEAD Apr 15, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 15, 2021 Lab TROPONIN-I (FOR ED ONLY) Apr 15, 2021 Lab PT/INR Apr 15, 2021 Lab PTT (PARTIAL THROMBOPLASTIN TIME) Apr 15, 2021 Lab CBC WITH DIFF Apr 15, 2021 The result is abnormalLab POC GLUCOSE Apr 14, 2021 The result is abnormalLab POC GLUCOSE Apr 14, 2021 Imaging TRANSESOPHAGEAL ECHOCARDIOGRAM - ADULT Apr 14, 2021 The result is abnormalLab POC GLUCOSE Apr 14, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 14, 2021 Lab MAGNESIUM Apr 14, 2021 Lab PHOSPHORUS Apr 14, 2021 The result is abnormalLab CBC WITH DIFF Apr 14, 2021 The result is abnormalLab POC GLUCOSE Apr 13, 2021 The result is abnormalLab POC GLUCOSE Apr 13, 2021 Imaging OPH PHOTOGRAPHY FUNDUS PHOTOS,OPHTHALMOSCOPY W/FUNDUS PHOTOS (AMB) Apr 13, 2021 The result is abnormalLab POC GLUCOSE Apr 13, 2021 Imaging TRANSTHORACIC ECHOCARDIOGRAM - W/SHUNT STUDY - ADULT - Apr 13, 2021 The result is abnormalLab POC GLUCOSE Apr 13, 2021 Imaging MRI ORBITS W/WO CONTRAST Apr 13, 2021 Imaging MRI BRAIN W/WO CONTRAST Apr 13, 2021 The result is abnormalLab LIPID PANEL Apr 13, 2021 Lab COVID-19 WVUH MOLECULAR LAB TESTING Apr 13, 2021 The result is abnormalLab LDL CHOLESTEROL, DIRECT Apr 13, 2021 Imaging CT Angio Carotid-Extracranial (Neck) Apr 13, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 13, 2021 Lab SEDIMENTATION RATE Apr 13, 2021 Lab C-REACTIVE PROTEIN(CRP),INFLAMMATION Apr 13, 2021 The result is abnormalLab HGA1C (HEMOGLOBIN A1C WITH EST AVG GLUCOSE) Apr 13, 2021 Lab PT/INR Apr 13, 2021 Lab PTT (PARTIAL THROMBOPLASTIN TIME) Apr 13, 2021 The result is abnormalLab CBC WITH DIFF Apr 13, 2021 Lab AST (SGOT) Apr 13, 2021 Lab ALT (SGPT) Apr 13, 2021 Lab CREATINE KINASE (CK), TOTAL, SERUM Apr 13, 2021 The result is abnormalLab THYROID STIMULATING HORMONE WITH FREE T4 REFLEX Apr 13, 2021 Lab THYROXINE, FREE (FREE T4) Apr 13, 2021 Lab TROPONIN-I Apr 12, 2021 Lab PT/INR Apr 12, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 12, 2021 Lab C-REACTIVE PROTEIN(CRP),INFLAMMATION Apr 12, 2021 Lab SEDIMENTATION RATE Apr 12, 2021 The result is abnormalLab CBC WITH DIFF Apr 12, 2021 Imaging CT Brain Apr 12, 2021 Imaging ECG UHC - ADULT Apr 12, 2021 Lab COVID-19 WVUH MOLECULAR LAB TESTING Apr 8, 2021 Imaging CT Angio Intracranial (Brain) Apr 8, 2021 Lab LAVENDER TOP TUBE Apr 8, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 8, 2021 Lab PT/INR Apr 8, 2021 Lab PTT (PARTIAL THROMBOPLASTIN TIME) Apr 8, 2021 Lab TROPONIN-I (FOR ED ONLY) Apr 8, 2021 The result is abnormalLab CBC WITH DIFF Apr 8, 2021 Lab MAGNESIUM Apr 8, 2021 Lab PHOSPHORUS Apr 8, 2021 Imaging ECG 12 LEAD Apr 8, 2021 The result is abnormalLab POC GLUCOSE Provider Unknown Apr 6, 2021 Imaging CT Brain Apr 6, 2021 Imaging XR CHEST AP AND LATERAL Apr 6, 2021 The result is abnormalLab BASIC METABOLIC PANEL Apr 6, 2021 Lab HEPATIC FUNCTION PANEL Apr 6, 2021 The result is abnormalLab MAGNESIUM Apr 6, 2021 Lab PT/INR Apr 6, 2021 Lab PTT (PARTIAL THROMBOPLASTIN TIME) Apr 6, 2021 Lab TROPONIN-I (FOR ED ONLY) Apr 6, 2021 The result is abnormalLab CBC WITH DIFF Apr 6, 2021 Imaging ECG 12 LEAD Apr 6, 2021 The result is abnormalLab

Write-up

April 1 - Severe Dizziness.
Hot, Nausea.
Had several dizzy spells in subsequent days, some with vomiting.
April 6 - ER Visit - Dizziness.
They cited low magnesium and gave me that via IV.
April 8 - ER Visit - High Blood Pressure.
April 11 - Lost eyesight, left eye April 12 - Admitted to hospital