National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 2200520

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 4/1/2022

VAERS ID: 2200520
VAERS Form: 2
Age: 5.0
Sex: Female
Location: California
Vaccinated: 2022-03-14
Onset: 2022-03-14
Submitted: 0000-00-00
Entered: 2022-03-26
Vaccin­ation / Manu­facturer (2 vaccines) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FL8095 / 1 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Fatigue, Headache, Pyrexia, Product use issue, SARS-CoV-2 antibody test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event
Allergies:
Diagnostic Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:100.5; Test Date: 20220314; Test Name: Nasal Swab; Test Result: Negative ; Comments: Nasal Swab
CDC 'Split Type': USPFIZER INC202200417893

Write-up: Fever - 100.5; Headache; Tiredness; Other vaccine same date, vaccine date 14Mar2022; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). A 5 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm right, administration date 14Mar2022 16:00 (Lot number: fl8095) at the age of 5 years as dose 1, single for covid-19 immunisation; influenza vaccine (FLU), administered in arm left, administration date 14Mar2022 (Batch/Lot number: unknown) as dose number unkown, single for immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: PRODUCT USE ISSUE (non-serious) with onset 14Mar2022, outcome "unknown", described as "Other vaccine same date, vaccine date 14Mar2022"; PYREXIA (non-serious) with onset 15Mar2022 12:00, outcome "recovering", described as "Fever - 100.5"; HEADACHE (non-serious) with onset 15Mar2022 12:00, outcome "recovering", described as "Headache"; FATIGUE (non-serious) with onset 15Mar2022 12:00, outcome "recovering", described as "Tiredness". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of pyrexia, headache, fatigue. Additional Information: Covid test post vaccination was done nasal swab and results were negative. No known allergies and other medical history reported. No follow-up attempts are possible. No further information is expected.

New Search


Copyright © 2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166