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This is VAERS ID 1776071

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776071
VAERS Form:2
Age:20.0
Sex:Male
Location:Georgia
Vaccinated:2021-10-10
Onset:2021-10-10
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3590 / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Chest discomfort, Chest pain, Flushing, Hyperhidrosis

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Weakness-Mild, Additional Details: Ten minutes after 2nd dose given patient was sweating and had chest pain in waiting area. Mom wanted us to call 911. 911 operator instructed us to give him 4 baby aspirin tablets. Paramedics came and determined he was okay and not having vaccine reaction. He went home with mother and brothers.

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