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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1366353

Case Details

VAERS ID: 1366353 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Cold sweat, Dizziness, Dysarthria, Dyspnoea, Syncope, Tachypnoea
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: At 09:40 attendee reported dizziness and shortness of breath and then fainted in the chair and slumped over. When she aroused about 10-15 seconds later, she had slurred speech, was cold and clammy, shortness of breath, and her respirations were tachypneic and labored. 09:45 - Lifted onto a cot that they brought to the area by her chair. Almost seemed like she was drunk or having a stroke. HR: 184 BP: 112/99 O2Sat%: 100. 10:05 ? Fainted 7+ times over 15 minutes, they were so busy caring for the attendee that EMS was not called, until now. 10:15 ?EMS arrived and took over care of the attendee. 10:23 EMS departed with attendee to the Emergency Room.

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