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This is VAERS ID 1368015

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368015
VAERS Form:2
Age:28.0
Sex:Female
Location:North Carolina
Vaccinated:2021-06-02
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / UNK RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Blood pressure increased, Chest pain, Dizziness, Presyncope, Vomiting, Axillary pain

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: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports sharp pain in left upper chest area and into the under arm area and reports she may pass out. Patient had a vasovagal syncope episode followed by vomiting. After 30 mins of resting, she reports she was no longer lightheaded or nauseous. Chest pain resolved. Patient does report headache at departure. 12:53 - BP 152/82, P-73, R-20, Pulse Ox-97%. 13:00 - BP 140/80, P-87, R-20, Pulse Ox-100%. 13:10 - 122/78.

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