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This is VAERS ID 1373140

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1373140
VAERS Form:2
Age:69.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Confusional state, Disturbance in attention, Feeling abnormal, Impaired driving ability

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: Minutes before I took An Arthritis Pain 640mg.
Current Illness: High pressure Osteoarthritis Gastritis Nasal allergy Lumbar pain from operation of 09/2015 Depression Anxiety Insomnia.
Preexisting Conditions: High pressure Depression Insomnia Gastritis Asthma Anxiety Osteoarthritis.
Allergies: Lobster, Aspirin.
Diagnostic Lab Data: I do not have results of anything from June 1, 2021 because I did not go to a doctor or hospital. I was driving straight home and I almost couldn''t get there.
CDC 'Split Type':

Write-up: Symptom that gave me in an unknown event for the first time of a dazed, confused head and difficulty concentrating and I was driving When it gave me this time after about 4 hours of the vaccine. He had not given me again since the first time September 5, 2020.

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