Adverse Event Reporting

VAERS ID 929162
Gender Female
Age 47
StateCode IN
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EL1284
Number of vaccinations 1
Vaccinated 2020-12-23
Onset 2020-12-23
Condition Permanent Disability
  • Arthralgia
  • Fatigue
  • Chest pain
  • Malaise
  • Myalgia
  • Body temperature abnormal

Current Illness

Environmental stress?

Preexisting Conditions

Hypothyroid, depression, anxiety, insomnia, Covid19 3/2020- resulting in 2 Bliood clots in my leg , micro clots in my lungs, scattered bilateral opacities and pneumonia.

Other Medications

Lexapro, Wellbutrin, synthroid, elequis, ambien,acyclovir

Previous Vaccinations


Avelox,tizanadine, shellfish, eggs, peanut butter, mold, dogs,cats, dust and other misc environmental allergies.

Laboratory Data


Cp initially that resolved in seconds.
Then severe muscle aches, fatigue, temp 1 week,excruciating joint pain continues now.