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This is VAERS ID 903034

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903034
VAERS Form:2
Age:68.0
Sex:Male
Location:Texas
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Vertigo

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Individual received vaccine on 12/17/20 at 0815. Began with feeling faint and "spinning" at approx. 11:00 am, reported resolution of symptoms at approx. 11:11 am on 12/17/20.


Changed on 12/24/2020

VAERS ID: 903034 Before After
VAERS Form:2
Age:68.0
Sex:Male
Location:Texas
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Vertigo

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Individual received vaccine on 12/17/20 at 0815. Began with feeling faint and "spinning" at approx. 11:00 am, reported resolution of symptoms at approx. 11:11 am on 12/17/20.


Changed on 12/30/2020

VAERS ID: 903034 Before After
VAERS Form:2
Age:68.0
Sex:Male
Location:Texas
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Vertigo

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Individual received vaccine on 12/17/20 at 0815. Began with feeling faint and "spinning" at approx. 11:00 am, reported resolution of symptoms at approx. 11:11 am on 12/17/20.


Changed on 5/7/2021

VAERS ID: 903034 Before After
VAERS Form:2
Age:68.0
Sex:Male
Location:Texas
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Vertigo

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Individual received vaccine on 12/17/20 at 0815. Began with feeling faint and "spinning" at approx. 11:00 am, reported resolution of symptoms at approx. 11:11 am on 12/17/20.


Changed on 5/21/2021

VAERS ID: 903034 Before After
VAERS Form:2
Age:68.0
Sex:Male
Location:Texas
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Vertigo

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Individual received vaccine on 12/17/20 at 0815. Began with feeling faint and "spinning" at approx. 11:00 am, reported resolution of symptoms at approx. 11:11 am on 12/17/20.

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