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This is VAERS ID 1330529

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330529
VAERS Form:2
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2021-05-19
Onset:2021-05-19
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Clindamycin Zithromax Sulfa Nuts
Diagnostic Lab Data: Pulse 70 HR 68 SPO2 100% BP 100/60 Exam normal
CDC 'Split Type':

Write-up: Nausea post vaccination History of vaso/vagal response after a shot was given (blood was drawn) Patient was given crackers, juice, water Improved symptom of nausea Patient was sent home

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330529&WAYBACKHISTORY=ON


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