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This is VAERS ID 1776469

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776469
VAERS Form:2
Age:58.0
Sex:Female
Location:Florida
Vaccinated:2021-10-08
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 EW0162 / 3 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Dizziness postural, Fatigue, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol Inhaler as needed Woman''s one a day vitamin 50 +
Current Illness: none
Preexisting Conditions: Asthma
Allergies: none
Diagnostic Lab Data: 10/11/2021: Physical exam: unremarkable Orthostatic BP: Orthostatic Blood Pressures: lying: BP- 147/74 HR- 60 symptoms-asymptomatic sitting: BP- 156/88 HR- 64 symptoms-dizziness standing: BP- 162/88 HR- 69 symptoms-dizziness standing after 2 minutes: BP- 158/85 HR- 68 symptoms- asymptomatic.
CDC 'Split Type':

Write-up: 10/8/21 received COVID booster, reports she was very tired the day of and the day after. Reports she woke up on 10/10/21 with nausea and some dizziness. Reports dizziness comes and goes especially with walking, but resolves after a few minutes. Reports nausea comes and goes. Denies being sick.

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