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This is VAERS ID 1330959

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330959
VAERS Form:2
Age:17.0
Sex:Female
Location:Ohio
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 EW0176 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dyspnoea, Hyperhidrosis, Loss of consciousness

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: none none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Patient''s mother refused further care
CDC 'Split Type':

Write-up: About 5 minutes after shot, the patient''s mother alerted us to her daughter being unconscious. She was sitting in a chair slumped forward, we pushed her back in the chair. The patient was tensed up, sweaty, with labored breathing. She was assessed to not to be in respiratory distress and held so she wouldn''t slide out of the chair she was sitting in. She began to return to consciousness and pulse seemed relatively normal with breathing returning to normal after 3 minutes. Local EMS was activated. The patient was given cold water to hold on her neck and was alert. Local EMS assessed she was ok and the patient''s mother refused transport to the ED. The patient left on her own.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330959&WAYBACKHISTORY=ON


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