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This is VAERS ID 1310908

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1310908
VAERS Form:2
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2021-05-04
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / UNK LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Presyncope

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient came to location with her twin sister to get her first Pfizer COVID vaccine. She had a vasovagal response at the same time as her sister. She was laid down and recovered in 20 minutes.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1310908&WAYBACKHISTORY=ON


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