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This is VAERS ID 1775140

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775140
VAERS Form:2
Age:45.0
Sex:Male
Location:Maryland
Vaccinated:2021-10-09
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2590 / 1 LA / IM

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

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: metformin
Current Illness:
Preexisting Conditions: diabetes type 2
Allergies: shrimp, cats, dogs
Diagnostic Lab Data: unknown
CDC 'Split Type':

Write-up: Patient reported feeling dizzy, light headed and a feeling of pins and needles after his first covid pfizer vaccine. His blood pressure was monitored and readings were as follows: approx 30 min after vaccine 149/92 hr 69, 2:00pm 148/85 HR 67, 205pm 162/105 HR 74 208pm 166/94 HR 71. 1 dose of Epinephrine autoinjector 0.3mg was given at 210pm. 212pm: 154/85 HR 71, 216pm 145/86 HR 86 EMS was called at 2:10pm after epeneprine. EMS arrived and transported patient to hospital

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