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This is VAERS ID 1310921

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1310921
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: Hyperhidrosis, Pallor, 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: Came to location for Pfizer vaccine on 5/4/21. She had a vasovagal reaction immediately after the vaccine. Her B/P was 122/62. She was pale and diaphoretic. She was seen by Dr. She recovered after a brief period and went home.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1310921&WAYBACKHISTORY=ON


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