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This is VAERS ID 1366563

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1366563
VAERS Form:2
Age:23.0
Sex:Male
Location:Oregon
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Anxiety, Dizziness, Dyspnoea, Hypoaesthesia, Paraesthesia, Respiration abnormal, Sensory loss

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the first dose of the Pfizer Vaccine. About 5 to 10 minutes after the vaccine, patient complained of dizziness and some shortness of breath. I did not see any swelling or noticeable difficulty in breathing. Patient also complained of numbness and tingling on this hands. Patient was told to be very relaxed on the chair in order to recover. Patient then complained of losing sensation on his hands. Also, patient said that he was going to pass out at any time. Girlfriend was present with patient. I told patient that I can call 911 immediately if they like. We called 911 and within 5 minutes EMT ARRIVED. EMT arrived and ran some tests on patient. They said that patient ''s respiration was getting back to normal capacity and confirmed that patient was having an anxiety attack. EMT asked if he has been taking medication for his anxiety. Patient said that he isn''t on any medication for his anxiety. Patient was then taken to the ER.

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