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This is VAERS ID 1328224

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328224
VAERS Form:2
Age:17.0
Sex:Female
Location:North Carolina
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 EW0176 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood pressure decreased, Syncope, Unresponsive to stimuli

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: has had a syncope event related to dilating eye drops at eye dr previously
Diagnostic Lab Data: paramedics took BP upon arrival, I did not obtain that information.
CDC 'Split Type':

Write-up: about 5 minutes after receiving injection, patient''s BP dropped. She was sitting when it happened and we rushed over to put feet up. She was non-responsive for about a minute and then started to come back for syncope episode. Water was provided until ambulance arrived to check on patient.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328224&WAYBACKHISTORY=ON


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