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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1365963



Case Details

VAERS ID: 1365963 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: none
Current Illness:
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: client complained of dizziness after receiving 1st dose Pfizer Covid Vaccine. RN responded with EMT. PHN arrived shortly. Upon arrival client sitting in chair, pale, alert and oriented x4. EMT was taking vitals. Client stated feeling dizzy and nauseous 5 mins after receiving vaccine. Vitals at 1526: blood pressure 124/80, pulse 81, oxygen 99%. Client denied blurry vision, headache, shortness of breath, chest pain. 1530 client able to stand and transfer to anti-gravity chair. Client stated feeling more dizzy after getting up. PHN gave client water and instructed to drink slowly. Per client no relevant medical history, current medication or allergies. Vitals at 1532: blood pressure 124/65, pulse 83, oxygen 95%. Client stated was on a diet and last time she ate was 6 AM. At 1533 client stated nausea and dizziness improving. Skin color normal for ethnicity. Client given juice and snack. Vitals at 1546: blood pressure 123/71, pulse 72. oxygen 99%. Per client dizziness improving, nausea subsided. Client denied blurry vision or headache. Client advised to eat prior to vaccine and follow up with provider. Last vitals at 1556: blood pressure 122/64, pulse 79, oxygen 97%. Client stated symptoms had resolved. Was not driving home, friend here with here and would take public transportation. ER precautions given. Client able to stand from chair with no complaint of dizziness. Client left facility with steady gait at 1558.


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