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This is VAERS ID 1371474

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371474
VAERS Form:2
Age:18.0
Sex:Female
Location:Ohio
Vaccinated:2021-06-03
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 ER8729 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Fall, Head injury

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt felt fine after vaccination and proceeded to waiting area and sat down to wait 15 minutes. A few minutes after she sat down she felt faint and fell out of her chair and bumped her forehead. We helped her back into the chair and held on to her. With her permission we had her sniff an ammonia inhalant and she said she felt a little better. She did not want us to call 911 or anybody at home. A pharmacy technician sat with her for about a half hour and a store manager filled out a report and said we will follow up with her later. She said she felt better and was able to leave on her own.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371474&WAYBACKHISTORY=ON


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