Adverse Event Reporting

VAERS ID 902655
Gender Male
Age 28
StateCode TX
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EK5730
Number of vaccinations 1
Vaccinated 2020-12-15
Onset 2020-12-16
Condition
Symptoms
  • Headache
  • Chills
  • Pain

Current Illness

none

Preexisting Conditions

none

Other Medications

none

Previous Vaccinations

Allergies

none

Laboratory Data

Write-up

chills - 0730 body ache, headache - 1000 headache significantly worse - 1110