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This is VAERS ID 1330673

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330673
VAERS Form:2
Age:14.0
Sex:Female
Location:New York
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: Public      Purchased by: ??
Symptoms: Syncope

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: None
Current Illness: None
Preexisting Conditions: Anxiety
Allergies: None
Diagnostic Lab Data: Vital Signs: BP 90/60, Pulse 68, Resp 16, SaO2 98%
CDC 'Split Type':

Write-up: Brief near syncopal episode, approximately 2-3 minutes after administration

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330673&WAYBACKHISTORY=ON


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