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This is VAERS ID 1350353

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1350353
VAERS Form:2
Age:29.0
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 EW0186 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Nervousness, Parosmia, Hot flush

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:
Preexisting Conditions: history of anxiety, OCD
Allergies:
Diagnostic Lab Data: Pulse: 111 (repeat: 90) Respiration: 20 SPO: 100% B/P: 146/82 Exam: normal
CDC 'Split Type':

Write-up: AE: rosey smell, hot flashes, feeling nervous/ anxious(at 10:20am) treatment: n/a ; food and drink helped, ate crackers and drank juice. outcome: felt better after eating crackers, patient discharged home

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350353&WAYBACKHISTORY=ON


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