Adverse Event Reporting

VAERS ID 903074
Gender Male
Age 29
StateCode NC
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations 1
Vaccinated 2020-12-17
Onset 2020-12-17
Condition
Symptoms
  • Headache

Current Illness

Preexisting Conditions

Other Medications

Allegra, famotidine, omeprazole

Previous Vaccinations

Allergies

N/A

Laboratory Data

Write-up

Headache at base of skull near spinal cord 3 hours after dose given