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This is VAERS ID 1371230

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371230
VAERS Form:2
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Syncope

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: UNKNOWN
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: UNKNOWN
Diagnostic Lab Data: FIRST RESPONDERS TOOK BLOOD PRESSURE AND BLOOD SUGAR.
CDC 'Split Type':

Write-up: PATIENT HAD SYNCOPE REACTION TO RECEIVING SHOT AND APPEARED TO HAVE A SEIZURE THAT LASTED A FEW SECONDS. PATIENT CAME TO AND WAS CONSCIOUS AND COHERENT.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371230&WAYBACKHISTORY=ON


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