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This is VAERS ID 1327559

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327559
VAERS Form:2
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypotension, Syncope, Eye movement disorder

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received her covid vaccine, while waiting for 15 minutes to be observed the patient fainted. Her mom noticed her eyes rolled back and started calling for help. We called 911 . Patient was placed on the ground carefully as we awaited for EMS to arrive. The patient was breathing, but had low blood pressure when EMS arrived. EMS took the patient to the hospital.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327559&WAYBACKHISTORY=ON


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