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This is VAERS ID 1327685

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1327685
VAERS Form:2
Age:14.0
Sex:Female
Location:Washington
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 EW0178 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: None listed
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient received her vaccine and took a seat in the waiting area. After about 10 minutes she fainted and fell off her chair. Patient''s mom yelled after it happened and the pharmacist and rushed over to help. When the pharmacist got to the patient she was face down and when they turned her over she got up. She did not appear to have hit her head and regained consciousness quickly. 911 was called at the request of patient''s mother and the patient did not leave in the ambulance.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327685&WAYBACKHISTORY=ON


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