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This is VAERS ID 1331171

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1331171
VAERS Form:2
Age:17.0
Sex:Male
Location:Illinois
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 EW0178 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Headache, Vaccine positive rechallenge, Immediate post-injection reaction

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: Same symptoms with first and second pfizer covid vaccine: dizziness, lightheadedness, and headache
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pfizer-BioNtech Covid-19 Vaccine. Patient reported dizziness, headache, and lightheadedness right after receiving the vaccine. He had to lie down for 20 minutes to recover from this symptom.

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