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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902901 |
VAERS Form: | 2 |
Age: | 33.0 |
Sex: | Female |
Location: | Nebraska |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-16 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EH9899 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Blood glucose normal, Dizziness, Gait inability
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data: Blood pressure and blood sugar within normal limits during episode.
CDC 'Split Type':
Write-up: 60 minutes after receiving the vaccine the patient became very dizzy and was unable to walk. After a couple of hours dizziness lessened and patient was able to ambulate.
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