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

This is VAERS ID 1474980



Case Details

VAERS ID: 1474980 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: Washington  
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 / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (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: n/a
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Pt received shot in pharmacy for second covid pfizer vaccine. She sat down for 15 minutes, but then got up and felt lightheadness. However, she continued shopping in store with her family. On the way out, she was still feeling lightheadness and her vision was lessened so she sat down at the food court area. Pharmacist was alerted to come attend to her. Pharmacist suggested that she put her head between her legs and offered wet towel for her neck. After about 5 minutes, she said she was fine to go with her family.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474980


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