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This is VAERS ID 1454809

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454809
VAERS Form:2
Age:45.0
Sex:Female
Location:Colorado
Vaccinated:2021-07-07
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 RA / IM

Administered by: Other      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 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454809&WAYBACKHISTORY=ON


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