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

This is VAERS ID 1371207

Case Details

VAERS ID: 1371207 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Florida  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose normal, Electrocardiogram, Fall, Presyncope, Sinus rhythm
SMQs:, Anticholinergic syndrome (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: nka
Diagnostic Lab Data: EKG: SINUS RHYTHM BG: 101
CDC Split Type:

Write-up: 9:50- Patient was sitting in chair talking to girlfriend. Per girlfriend patient''s head started to tilt back, and then he fell on his right side. Patient had a vasovagal response X 10 seconds. EMT and NP rushed to patient, immediately assessing patient, hooked him up to EKG, took vitals and blood sugar. When patient woke up he was A&OX3, patient stated he did not eat anything for the day. Vitals: 140/88, pulse 67, 100% O2, BG 101. 1000: 12 LEAD EKG was performed, patient is in SINUS RHYTHM. Another set of vitals were taken. 115/70, 91 pulse, 100% O2. Patient was given cereal bar and orange juice. 1010: Third set of vitals 123/71, pulse 74, 100% O2 1030: Patient stated he was well. Patient was able to walk to car with girlfriend. Did not request any further medical intervention.

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