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This is VAERS ID 1437374

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437374
VAERS Form:2
Age:15.0
Sex:Male
Location:New Hampshire
Vaccinated:2021-06-30
Onset:2021-06-30
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Was given the vaccine in the right arm and about 5-10 mins after being vaccinated as the patient was walking out of the consultation room the patient became lightheaded Patient sat down for about 15 mins and given 2 small cups of water to sip

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437374&WAYBACKHISTORY=ON

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