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This is VAERS ID 1437990

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437990
VAERS Form:2
Age:13.0
Sex:Female
Location:California
Vaccinated:2021-06-28
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Asthenia, Dyspnoea, Headache, Nausea, Orthostatic hypotension

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: Sumatriptan 25mg Amitriptyline 10mg Metoclopramide HCL 5ml Ibuprofen 400mg Setraline HCL 25mg
Current Illness: NONE
Preexisting Conditions: Chronic Migraines
Allergies: NONE
Diagnostic Lab Data: Vital Signs @12:18 pm BP 110/62 Pulse Oximetry 98% Pulse 130 bpm (sitting) @ 12:19 pm BP 106/60 Pulse Oximetry 99% Pulse 110 bpm (laying) @12:39 pm BP 114/60 Pulse Oximetry 98% Pulse 130 bpm (standing)
CDC 'Split Type':

Write-up: Shortness of breath, weakness, headache ? Vaccine RXN Orthostatic Hypotension Nausea

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