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This is VAERS ID 1366158

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1366158
VAERS Form:2
Age:30.0
Sex:Female
Location:Florida
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Feeling abnormal, Pallor, Syncope, Vomiting

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: None
Current Illness: None
Preexisting Conditions: NOne
Allergies: None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient received the covid19 vaccine at about 940am on 06/01/21 - dose 1 by Pfizer. Less than 5 minutes later, patient came to me saying she wasn''t feeling good. I was still sitting at the immunization table. She sat down and said she was feeling very tired. I asked if she wanted me to call 911 and she said said no. She just wanted to rest. She then slumped over and fainted. I was able to hold her in the seat while carefully supporting her head. I loosened her mask and she was breathing normally, but just fainted. About 2 minutes she woke up and then proceeded to vomit. I sat with the patient about 15 minutes or so. The color returned back to her lips and we called her roommate. When he arrived, the patient got up and started walking and began to feel better. Patient went home.

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