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This is VAERS ID 1350438

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1350438
VAERS Form:2
Age:14.0
Sex:Female
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 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Syncope, 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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pulse: 82 bpm Respiration: 18 SPO2: 99% B/P 100/55
CDC 'Split Type':

Write-up: AE: patient got dizzy, vomited and syncopal walking. No medication was given. food and water improved the symptoms Outcome: patient discharged to POV/Home

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350438&WAYBACKHISTORY=ON


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