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This is VAERS ID 1347791

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347791
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy      Purchased by: ??
Symptoms: Body temperature increased, Dizziness, Fatigue, Malaise, Paraesthesia, Visual impairment, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient started to not feel well almost immediately after the vaccine was given per certified pharmacy technician on 5/22/21 around 4:05 P.M. Patient started to experience symptoms not related to anaphylaxis, but more so related to hypotension and/or anxiety. Symptoms include dizziness, body fatigue, pins/needles throughout her body, and also patient started to "see dark spots" when she had her eyes open. No other immediate symptoms were present. Patient''s condition improved over time and was able to get up from the chair by herself approximately 15-20 minutes post injection. Patient initially had a normal body temperature of 98.6 F. Temperature was taken every 5 minutes starting from 4:11 P.M for a total of 5 readings, which gradually increased to 100.5 F. Patient''s condition started to worsen approximately 30 minutes post injection after improvement and looked like she was going to become unconscious. Ambulance was called due to worsening of symptoms again, and patient''s care was transferred over at around 4:45 P.M. Patient was called on 5/25/21 at around 2:40 P.M. for follow-up. Patient has not fully recovered, but is on her way to recovery. Currently, her only symptoms are feelings of pins/needles throughout her body while all other symptoms are gone. Advised patient to follow-up with physician for her current symptom. Patient acknowledged and will see doctor soon. No date was given.

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