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This is VAERS ID 1475189

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475189
VAERS Form:2
Age:15.0
Sex:Female
Location:New York
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 FA6780 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Dyschromatopsia, Hyperhidrosis, Pallor, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: none
Preexisting Conditions: none
Allergies: carrots, apples, celery
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient started to feel dizzy almost right away, we had her sit, she was sweating and pale and had black visions in front of her eyes. We gave her water and after a few minutes she started feeling better but we called 911 anyway. When they came her blood pressure was 80/54 and they gave her IV fluids right away and decided to take her to the ER for observation.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475189&WAYBACKHISTORY=ON


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