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This is VAERS ID 1833930

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/5/2021

VAERS ID: 1833930
VAERS Form:2
Age:22.0
Sex:Female
Location:Unknown
Vaccinated:2021-11-01
Onset:2021-11-01
Submitted:0000-00-00
Entered:2021-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR - / UNK - / SYR
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blindness transient, Syncope, Hypoacusis

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

Write-up: Fainted a couple minutes after shots received. Lost vision and partial hearing, but never fully unconscious. Lasted for a few minutes, asked to stay at office for 15 minutes to make sure ok.

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