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This is VAERS ID 1475644

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475644
VAERS Form:2
Age:20.0
Sex:Female
Location:Tennessee
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 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blindness, Deafness, Dizziness, Hypoaesthesia, Pallor, Paraesthesia, Syncope

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: unknown
Current Illness: no known
Preexisting Conditions: none known
Allergies: cinnamon, peanuts, tree nuts
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt fainted approximately 5-10 minutes after vaccine administration; pt had symptoms of light-headed, dizzy, loss of vision and hearing briefly, numbness and tingling in face and hands. Pt was very pale. Pt''s feet were elevated and given a drink. Paramedics were called and assessed patient; paramedic reported normal blood pressure but slightly pulse. Pt was released without recommendation to transport. Pt mother told to call 911 if symptoms of allergic reaction occurred such as nausea, vomiting, diarrhea, rash, hives, or swelling in face, eyes, or tongue.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475644&WAYBACKHISTORY=ON

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