This is VAERS ID 2075279

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2022

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FJ6369 / 3	LA / IM
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC.	P100360866 / UNK	LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cold sweat, Dizziness, Dyspnoea, Hypoaesthesia, Pallor, Visual impairment

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: Asthma
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Approx. 10 minutes after vaccination patient was pale, clammy, dizzy and said he was having trouble catching his breath. His breath, he said he had trouble seeing and that his arm felt numb. His mother requested Paramedics be called. While waiting for Paramedics, Pt''s Blood Pressure was taken (94/63, 98) Pt was let to drink some water and color came back to his face. Paramedics came approx. 10-15 minutes after and reported normal vitals signs & O2 saturation. Pt left to home.

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