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This is VAERS ID 1696994

History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1696994
VAERS Form:2
Age:51.0
Sex:Female
Location:New York
Vaccinated:2021-09-14
Onset:2021-09-14
Submitted:0000-00-00
Entered:2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 2 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Dry mouth, Feeling hot, Flushing

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: xarelto
Current Illness: n/a
Preexisting Conditions: Atrial flutter, A-fib, Sarcoidosis, morbidly obese
Allergies: strawberries, peanuts, eggs
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 6 mins after receiving pfizer vaccine. The Patient experienced light-headedness, a warm flushing sensation around her neck, dry mouth. Vital signs were taken and were within normal limits. Patient was given water to sip on. patient was seated for 30 mins, until she felt better. She stood up slowly and was standing for several minutes before she was permitted to leave.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1696994&WAYBACKHISTORY=ON

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