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This is VAERS ID 1465574

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1465574
VAERS Form:2
Age:17.0
Sex:Male
Location:Texas
Vaccinated:2021-07-12
Onset:2021-07-12
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / IM

Administered by: School      Purchased by: ??
Symptoms: Anxiety, Dyspnoea, Heart rate increased, Hypoaesthesia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: At 2:25pm patient c/o SOB, increasing heart rate, hard to breathe, numbness all over body, and high level anxiety. Nurse took his blood pressure and tried to help patient stabilize his breathing in brown bag. Requested EMS immediately and patient was transported to hospital. HR: 170 BP: 150/100 Resp: 26

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