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This is VAERS ID 1431334

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431334
VAERS Form:2
Age:12.0
Sex:Female
Location:Texas
Vaccinated:2021-06-24
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest discomfort, Dyspnoea, Loss of personal independence in daily activities

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthma, seasonal allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported shortness of breath and tightness in chest that started around 4pm on June 26, 2021 during volleyball game that led to patient not being able to continue activity. On June 28, 2021 at 11am to 1pm, pt reported the same shortness of breath that led to patient not being able to continue strength and conditioning activity. Patient has been advised to contact primary care doctor for further guidance and evaluation.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431334&WAYBACKHISTORY=ON


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