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This is VAERS ID 1474980

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474980
VAERS Form:2
Age:13.0
Sex:Female
Location:Washington
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 EW0198 / 2 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Visual impairment

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: 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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