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This is VAERS ID 1366359

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1366359
VAERS Form:2
Age:14.0
Sex:Female
Location:California
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dyspnoea, Electrocardiogram normal, Headache, Pain, Sinus rhythm, Metabolic function test normal

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: none
Current Illness: none, first day of normal menstrual cycle
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG, NSR 86 bmp, normal ekg
CDC 'Split Type':

Write-up: overall body aches, lightheadedness, shortness of breath, headache

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1366359&WAYBACKHISTORY=ON


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