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This is VAERS ID 1423793

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1423793
VAERS Form:2
Age:15.0
Sex:Female
Location:North Carolina
Vaccinated:2021-06-18
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Headache, Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa
Current Illness: none
Preexisting Conditions: Anxiety and depression
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Passed out for 20-30 min, fatigue, and headache

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1423793&WAYBACKHISTORY=ON


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