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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1328024



Case Details

VAERS ID: 1328024 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: New York  
Vaccinated:2021-05-18
Onset:2021-05-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Heart rate, Iris discolouration, Mydriasis, Pallor
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions:
Allergies: Tree nut allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizzy, displayed pupil, heart rate, pale with blue around eyes and fingers. No epi pen given as patient wasn?t too short of breath and came out of it quickly. 911 was called


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328024


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