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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1474500



Case Details

VAERS ID: 1474500 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 2 LA / IM

Administered by: Public       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: Individual takes medications for Multiple sclerosis, cholesterol, and for borderline DM2
Current Illness: None
Preexisting Conditions: Multiple Sclerosis, DM2, Hypercholesterolemia
Allergies: None
Diagnostic Lab Data: ---
CDC Split Type:

Write-up: 15 min after getting her vaccine, individual felt lightheaded. HR:60/min, BP 120/60. @ 13:05 pt. ate a protein bar (she didn''t have breakfast), individual also drink plenty of water. Pt states she feels better. 1310PM pt called her ride to be picked. Pt left the facility at 13:30, asymptomatic.


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