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This is VAERS ID 1328293

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328293
VAERS Form:2
Age:13.0
Sex:Female
Location:California
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 PFIZER / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Hypotension, Incoherent, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: no information available
Current Illness: no information available
Preexisting Conditions: no information available
Allergies: no information available
Diagnostic Lab Data: no information available
CDC 'Split Type':

Write-up: Patient received 1st of dose Pfizer from nurse on duty. Within five minutes patient become dizzy and nauseated. She was barely coherent and blood pressure was low at 66/45. She was laid on the floor to help and paramedics were called. paramedics took her to hospital. she was more coherent and bp improved but still having side effects.

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