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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1331325



Case Details

VAERS ID: 1331325 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Pallor
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Patient''s mom reported to observation RN that the patient has a history of feeling dizzy anytime she receives a vaccine.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: At 15:18 pt reported to observation RN that she is feeling dizzy. Pt noted to be pale, vitals takes at 15:20 are: T: 97.4 P: 75 RR: 20 BP: 138/80 O2: 99%. Pt provided water at her request and feet propped up on a chair. Pt vitals taken again at 15:30 are: T: 98.3 P: 91 RR: 16 BP: 119/74 O2: 99%. Pt reported dizzy feeling subsided. Pt discharged at 15:45 in her mother''s care.


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