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This is VAERS ID 1350327

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1350327
VAERS Form:2
Age:15.0
Sex:Male
Location:Unknown
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Headache, Vision blurred, Vomiting

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:
Other Medications:
Current Illness: gets anxious with needles
Preexisting Conditions:
Allergies: allergic to bactrim
Diagnostic Lab Data: pulse: 76 Respiration: 18 SPO: 98 BP: 100/76
CDC 'Split Type':

Write-up: dizzy, headache, blurred vision, vomited after vaccination. (at 03:52 pm) outcome: recovered after drinking water and eating crackers and discharged to home.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350327&WAYBACKHISTORY=ON


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