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This is VAERS ID 1328557

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1328557
VAERS Form:2
Age:14.0
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 ER8734 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dysphagia, Feeling abnormal, Throat tightness

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported "not feeling right", throat is tight, hard to swallow, light headed. Patient was put in the exam room at 6:00pm VS take, WNL. Doctor examined patient, lungs clear, airway clear. No swelling, redness, rash. Patient was given 25mg cap of Benadryl, monitored for 25min. Repeat vitals taken, improvement in HR, otherwise WNL. Patient given prescription for Albuterol inhaler, Benadryl, Loratadine. ER precautions advised to parent

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