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

This is VAERS ID 1350364



Case Details

VAERS ID: 1350364 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-22
Onset:2021-05-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Tinnitus
SMQs:, Anticholinergic syndrome (broad), Hearing impairment (narrow), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pulse: 63bpm Respiration: 20 SPO2: 97% Exam: normal
CDC Split Type:

Write-up: AE: light headed, slight ringing in the ear(resolved), dizzy (at 10:40 am) Tx: n/a, just food and drink Outcome: juice, crackers helped resolve AE. pt was discharged home.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350364


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