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This is VAERS ID 1759990

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759990
VAERS Form:2
Age:43.0
Sex:Female
Location:New Jersey
Vaccinated:2021-09-27
Onset:2021-10-03
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 3 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Palpitations

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: Asthma attack, 42, 3/4/2021, covid 19, Pfizer
Other Medications: Levothyroxine 125 mg, vitamin d, calcium, zinc, vitamin c, multivitamin, iron
Current Illness:
Preexisting Conditions: Hashimotos Thyroiditis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sudden rapid heart palpitations. Subsided after 2 minutes and drinking water. Did not return.

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