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This is VAERS ID 902997

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902997
VAERS Form:2
Age:30.0
Sex:Male
Location:Kansas
Vaccinated:2020-12-16
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Nausea, Visual tracking test abnormal, Glassy eyes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness: NONE
Preexisting Conditions: ASTHMA
Allergies: PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: SWEATY, NAUSEA, DIZZY, EYES GLAZED OVER, NOT TRACKING RIGHT, STARTED MORNING AFTER SHOT


Changed on 12/24/2020

VAERS ID: 902997 Before After
VAERS Form:2
Age:30.0
Sex:Male
Location:Kansas
Vaccinated:2020-12-16
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Nausea, Visual tracking test abnormal, Glassy eyes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness: NONE
Preexisting Conditions: ASTHMA
Allergies: PENICILLIN PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: SWEATY, NAUSEA, DIZZY, EYES GLAZED OVER, NOT TRACKING RIGHT, STARTED MORNING AFTER SHOT


Changed on 12/30/2020

VAERS ID: 902997 Before After
VAERS Form:2
Age:30.0
Sex:Male
Location:Kansas
Vaccinated:2020-12-16
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Nausea, Visual tracking test abnormal, Glassy eyes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness: NONE
Preexisting Conditions: ASTHMA
Allergies: PENICILLIN PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: SWEATY, NAUSEA, DIZZY, EYES GLAZED OVER, NOT TRACKING RIGHT, STARTED MORNING AFTER SHOT


Changed on 5/7/2021

VAERS ID: 902997 Before After
VAERS Form:2
Age:30.0
Sex:Male
Location:Kansas
Vaccinated:2020-12-16
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Nausea, Visual tracking test abnormal, Glassy eyes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness: NONE
Preexisting Conditions: ASTHMA
Allergies: PENICILLIN PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: SWEATY, NAUSEA, DIZZY, EYES GLAZED OVER, NOT TRACKING RIGHT, STARTED MORNING AFTER SHOT


Changed on 5/21/2021

VAERS ID: 902997 Before After
VAERS Form:2
Age:30.0
Sex:Male
Location:Kansas
Vaccinated:2020-12-16
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 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Nausea, Visual tracking test abnormal, Glassy eyes

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PANTOPRAZOLE
Current Illness: NONE
Preexisting Conditions: ASTHMA
Allergies: PENICILLIN PENICILLIN
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: SWEATY, NAUSEA, DIZZY, EYES GLAZED OVER, NOT TRACKING RIGHT, STARTED MORNING AFTER SHOT

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