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This is VAERS ID 912103

History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 912103
VAERS Form:2
Age:17.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-28
Onset:2020-12-28
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Nausea, Abnormal behaviour

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: Cryselle 1 tab orally once daily Fluoxetine 20 mg orally once daily
Current Illness:
Preexisting Conditions: Anxiety, depression, menorrhagia, family hx of Marfan syndrome
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dizziness and nausea 10 minutes after injection, continued to wax and wane over approx 90 minutes. No vitals taken. Patient ambulated back to work at 1800.


Changed on 5/7/2021

VAERS ID: 912103 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-28
Onset:2020-12-28
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Nausea, Abnormal behaviour

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: Cryselle 1 tab orally once daily Fluoxetine 20 mg orally once daily
Current Illness:
Preexisting Conditions: Anxiety, depression, menorrhagia, family hx of Marfan syndrome
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dizziness and nausea 10 minutes after injection, continued to wax and wane over approx 90 minutes. No vitals taken. Patient ambulated back to work at 1800.


Changed on 5/14/2021

VAERS ID: 912103 Before After
VAERS Form:2
Age:17.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-28
Onset:2020-12-28
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Nausea, Abnormal behaviour

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: Cryselle 1 tab orally once daily Fluoxetine 20 mg orally once daily
Current Illness:
Preexisting Conditions: Anxiety, depression, menorrhagia, family hx of Marfan syndrome
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Dizziness and nausea 10 minutes after injection, continued to wax and wane over approx 90 minutes. No vitals taken. Patient ambulated back to work at 1800.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=912103&WAYBACKHISTORY=ON


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