This is VAERS ID 1913283

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/3/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FF2590 / 1	LA / IM
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	5NF7J / UNK	RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dizziness, Epistaxis, Fall, Face injury

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pharyngitis
Preexisting Conditions: Seasonal allergic rhinitis
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient woke up this morning and felt very dizzy, fell and hit her face, causing a nosebleed and possible fracture of nasal bones. She was seen at ER where they ran testing, observed her for an hour and sent her to our office

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