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This is VAERS ID 1331230

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1331230
VAERS Form:2
Age:12.0
Sex:Female
Location:Maryland
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 EW0186 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure decreased, Blood pressure fluctuation, Heart rate decreased, Hyperhidrosis, Loss of consciousness, Pallor, Syncope

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pale diaphoretic, syncope witnessed loc Possible seizure Transported by ambulance with mother at11:45am BP 67/30 P 46 14 99% at 12:00am BP 84/62 P 58 12 100%

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1331230&WAYBACKHISTORY=ON


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