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From the 1/14/2022 release of VAERS data:

This is VAERS ID 927167

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Case Details

VAERS ID: 927167 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-01-07
Onset:2021-01-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Cooling therapy, Dizziness, Nausea, Retching
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: States that she usually has same reactions to any vaccine she takes
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Entered observation @ 1935. Mother stated to this nurse @ 1950, that daughter felt "light-headed". Water was given. @ 1954, patient started to gag. Went to restroom. @ 1958, she was walked with this nurse and others to "bed" that''s located in vaccination clinic. Mother explained to this nurse and others that her daughter shows s/s of these symptoms upon each vaccination. Lightheadedness and nausea lasted for about 10-15 minutes. Cold compress was applied to help relieve s/s from vaccine. States she felt better around 2005. Left observation @ 2005, showed no s/s of distress.


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