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This is VAERS ID 1474818

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474818
VAERS Form:2
Age:26.0
Sex:Female
Location:Rhode Island
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 EW0196 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Loss of consciousness

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: ASTHMA
Preexisting Conditions: ASTHMA
Allergies: PENICILLIN
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Patient passed out 10 to 15 minutes after vaccine administration.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474818&WAYBACKHISTORY=ON


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