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This is VAERS ID 1327638

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1327638
VAERS Form:2
Age:14.0
Sex:Female
Location:Unknown
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 EW0167 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Syncope

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient with syncope right after vaccination. Vitals stable. Patient given juice and crackers. Hadn''t eaten today. Able to discharge patient home with mom.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327638&WAYBACKHISTORY=ON


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