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This is VAERS ID 1735103

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1735103
VAERS Form:2
Age:15.0
Sex:Female
Location:New York
Vaccinated:2021-09-25
Onset:2021-09-25
Submitted:0000-00-00
Entered:2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Dyspnoea

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: A few minutes after receiving the vaccine, patient started feeling light headed and dizzy. Then patient stated that she was having trouble breathing. We called 911. During evaluation by EMS, patient seemed fine but said she still experienced trouble breathing. She as taken to the hospital for further evaluation.

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