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This is VAERS ID 1467528

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467528
VAERS Form:2
Age:50.0
Sex:Female
Location:Washington
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Muscular weakness

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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient was anxious about getting a shot before but she was ok during administration, and after waiting 15 minutes. Store staff reported that she was lying on the ground at parking lot. Main symptoms were muscle weakness and dizziness so she couldn''t stand up. EMT came in but pt refused to take ambulance. Per patient, she will go to hospital with her husband.

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