VAERS ID: 1486595

AGE: 13| SEX: M|STATE: CA (United States)

Description

Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Additional Details: at 4:08pm 5 mins after giving shot, pt and mom complained of sweating and headache, put fan on pt while sitting and was fine after few minutes pt left with mom 4:18pm no issues

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Headache, Hyperhidrosis, Flushing

Vaccines

VAX DATE: 07-19-2021| ONSET DATE: 07-19-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EW0198 IM LA

RECVDATE:07-20-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:07-20-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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