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This is VAERS ID 1775779

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First Appeared on 10/15/2021

VAERS ID: 1775779
VAERS Form:2
Age:37.0
Sex:Male
Location:Colorado
Vaccinated:2021-10-10
Onset:2021-10-10
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3590 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Vital signs: BP: 140/70 Pulse: 100 RR: 18 SP02: 99%. BP: 125/70 Pulse: 85 RR: 16 SPO2: 99%
CDC 'Split Type':

Write-up: The patient felt lightheaded after his first dose of Pfizer. The patient had run 14 miles and had not had much to eat or drink today. He died any pain. AAOX3 and in no apparent distress. Good ROM and neuros intact. He denied that he was going to pass out. Patient was provided water 3 bottles of water and a granola bar. He was observed for 45 mins until he finished the water and granola bar. Patient stated he felt much better and left POV.

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