Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0180 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Blood glucose, Heart rate decreased, Loss of consciousness, Cardiac monitoring
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none known
Diagnostic Lab Data: EMTs checked blood glucose, heart rate, blood pressure. Heart monitor applied due to low heart rate.
CDC 'Split Type':
Write-up: Patient received vaccine and within 5 minutes he lost consciousness. He came to and was oriented to place and time. Called 911. He was monitored and refused to go to hospital. He left pharmacy about 30-45 minutes later and felt ok.
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