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This is VAERS ID 1328024

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1328024
VAERS Form:2
Age:15.0
Sex:Female
Location:New York
Vaccinated:2021-05-18
Onset:2021-05-18
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, Mydriasis, Pallor, Iris discolouration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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&WAYBACKHISTORY=ON


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