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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1454809

Case Details

VAERS ID: 1454809 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Colorado  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None Noted
Current Illness: None Noted
Preexisting Conditions: None Noted
Allergies: None Noted
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. c/o of feeling Light Headed. Stated "I think its more of a mental thing" Pt . vitals as follows: @12:24 pm B/P 150/85 Hr 65 R 16 02 97% on RA. @ 12:38 pm, vitals as follows: B/P 138/80 HR 64 R 14 02 98% Pt. stated she felt better , left at 12:56 pm in stable condition. Advised to follow up with PCP if new or worsening symptoms occur.

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