Adverse Event Reporting

VAERS ID 903751
Gender Female
Age 21
StateCode
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EH9899
Number of vaccinations 1
Vaccinated 2020-12-16
Onset 2020-12-17
Condition Recovered
Symptoms
  • Pyrexia
  • Dizziness
  • Chills
  • Pain
  • Injection site pain
  • Injection site swelling
  • SARS-CoV-2 test positive

Current Illness

patient thought she has a URI/ Allergies prior to vaccination.

Preexisting Conditions

Overactive bladder and Anxiety.

Other Medications

Detrol, effexor

Previous Vaccinations

Allergies

None

Laboratory Data

COVID Test 17 DEC PCR, which was positive.

Write-up

Fevers, Chills, dizzy body aches, pain and swelling at the injection site