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This is VAERS ID 1371519

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371519
VAERS Form:2
Age:14.0
Sex:Male
Location:Texas
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Body temperature decreased, Dizziness, Hyperhidrosis, Vision blurred

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient complained about feeling lightheaded, sweaty, and blurred vision. Spo2 99 HR 96, BP 124/98 T 95.1 The patient?s mother stated that he always gets that way when he receives a vaccine or donates blood. The clinical staff attended to him. He stated that he felt fine after about 5 minutes.

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