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This is VAERS ID 1330974

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1330974
VAERS Form:2
Age:14.0
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 EW0183 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Pallor, Vision blurred, Computerised tomogram thorax

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:
Diagnostic Lab Data: Pulse 97 Respirations 14 SPO2 98% BP 98/70 Exam: Alert, oriented to person place and time. Lungs - CTA, CV - RRR Vital post incident HR 76 BP 102/70
CDC 'Split Type':

Write-up: Dizziness, sweaty, blurred vision approx 2 mins after getting vaccine. Brought over to medical. Patient was alert, pale and diaphoretic. Patient was given water, crackers, alert and talkative, feeling much better. Patient sent home Past Medical Hx Had presyncope episodes with vaccine/blood draws in the past No recent illness and ate today

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