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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902671 |
VAERS Form: | 2 |
Age: | 72.0 |
Sex: | Male |
Location: | Colorado |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-16 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EH9899 / N/A | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Dizziness
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After patient received vaccine had complaints of being "lightheaded and slightly dizzy". Monitored vital signs and patient symptoms. Resolved after 20 minutes and patient was released to go home.
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