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This is VAERS ID 1346578

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346578
VAERS Form:2
Age:12.0
Sex:Female
Location:Unknown
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Dysphagia

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: reports dizziness. denies any difficulty swallowing and/or other s/s. at 1604, c/o difficult swallowing- transferred care to EMS. EMS administered epi & called for transport, 1611- mother agreeable; 1616 pt. reports feeling better- symptoms resolved.

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