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This is VAERS ID 1330839

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330839
VAERS Form:2
Age:16.0
Sex:Female
Location:Florida
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 EW0168 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Feeling cold, Hyperhidrosis, Pallor, Skin discolouration, 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: HPV vaccine, not sure which one and when
Other Medications: none according the patient
Current Illness: unknown
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: A few moments after receiving the vaccination, patient fainted and had some tremors afterwards. We picked her up off of the floor and placed her in a chair. She was pale and had some discoloration around her nose area. She was able to speak to us. She felt cold and was sweating at the same time. Her body temp was 97 degrees F. According to her mom, she''s had a previous reaction similar to this but not to this extreme with the HPV shot. We called 911 to have her assessed by the paramedics

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330839&WAYBACKHISTORY=ON


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