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This is VAERS ID 1330597

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330597
VAERS Form:2
Age:16.0
Sex:Male
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 EW0170 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: c/o feet and toes tingling 15 minutes after vaccine. States tingling had happen before but cannot remember when or what he was doing. P66 strong & regular BP126/88. EMS evaluated student. Student went to nurse office to wait for his mother to take him home.

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