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This is VAERS ID 1368138

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368138
VAERS Form:2
Age:16.0
Sex:Male
Location:Delaware
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 EW0179 / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Hunger, Nausea, Hypoacusis

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:
CDC 'Split Type':

Write-up: Reports did not eat today, usually eats. Reported lightheadedness that resolved within about 2 minutes, followed by nausea for about 2 minutes resolved - was followed by hunger, and muffled hearing for about 3 minutes resolved. Denies chest pain, change in vision, and other s/sx. 03:57pm LUE 112/62 P62 R20. Reports lightheadedness, nausea, and muffled hearing, all s/sx resolved, stated "I feel normal", drank a cola and ate a protein bar. Observed for 30 minutes. Ambulated with steady gait off floor with his parent.

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