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This is VAERS ID 1474806

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474806
VAERS Form:2
Age:15.0
Sex:Male
Location:Florida
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Nausea, Syncope, Vomiting, Immediate post-injection reaction

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 aware of
Current Illness: none aware of
Preexisting Conditions: none known
Allergies: no
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Pt had severe anxiety and claustrophobia prior to vaccine. Immediately following administration patient went limp/fainted, awoke seconds later was nauseous and vomited slightly. Patient was pale. Asked patients mother if he had eaten today he had not. Provided patient with a iced tea he brought with him. Upon sitting, monitoring temp, talking with patient and mom, patients color returned and patient was feeling better. Patient remained seated for approximately 30 minutes and upon leaving patient was feeling much better.

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