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This is VAERS ID 1375950

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375950
VAERS Form:2
Age:39.0
Sex:Male
Location:Connecticut
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 EW0180 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blindness, Chest pain, Deafness, Headache, Loss of consciousness, Nausea, Productive cough, Sputum discoloured

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: Within the first 24 hours after the vaccine patient experienced: blackout 1.5 hours after the vaccine headache loss of vision, hearing, and sensations, nausea chest pain productive cough of different color sputum. Currently patient is experiencing productive cough and headache

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