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This is VAERS ID 1775792

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775792
VAERS Form:2
Age:12.0
Sex:Female
Location:Arizona
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 FF2590 / 2 LA / IM

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

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: ondansetron, cetirizine, lamictal, celexa, miralax, fludrocortisone, metoprolol, albuterol, flovent, prevacid
Current Illness:
Preexisting Conditions: POTS, GERD, asthma, allergies, depression
Allergies: penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right after she received her second dose, she started to feel really dizzy and said her head was pounding. It continued to get worse after 25 minutes. Her mother said this has happened before with other vaccines that it aggravates her POTS. Her mom said when this happens, she takes her to Children Hospital. She took her to the hospital after she left the pharmacy for treatment.

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