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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1474543



Case Details

VAERS ID: 1474543 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Pennsylvania  
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 EW0198 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Feeling hot, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient became lightheaded, dizzy, nauseous, and she felt hot about 10 minutes after vaccine administration. Dr. was brought in the exam room to assess the patient. Dr. brought patient over to exam table and had her lying supine. Patient was given pretzels and 2 cups of water. Patient was lying supine for about 1.5 hours with no improvement. Patient was driven to Hospital Emergency Department by her father, for further evaluation and possible IV fluids.


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