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This is VAERS ID 1371193

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371193
VAERS Form:2
Age:67.0
Sex:Female
Location:Indiana
Vaccinated:2021-06-01
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Fall, Head injury, Loss of consciousness, Vision blurred

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochorothiazide 12.5 MG - only prescription medicine Vitamins & supplements: Calcium/Magnesium/Zinc, Vitamn E, Super B-Complex, Fish Oil
Current Illness: none
Preexisting Conditions: none
Allergies: maybe penecillin
Diagnostic Lab Data: None yet
CDC 'Split Type':

Write-up: I got up in the middle of the night to go to the bathroom as usual, and after washing my hands, apparently passed out. My husband heard and attended to me ( I have a large bump on the back of my head, and a cut on my forehead). This morning, I''m okay except for a slight blurriness when reading. My physician recommended going to urgent care, which I am doing. I cannot remmber ever having fainted in my entire life.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371193&WAYBACKHISTORY=ON


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