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This is VAERS ID 1408313

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408313
VAERS Form:2
Age:29.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Fainting
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021640658

Write-up: This is a spontaneous report from a contactable healthcare professional received from the Regulatory Agency. A 29-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date were not reported), via an unspecified route of administration on 01Jun2021 (at the age of 29-years) as single dose for COVID-19 immunisation. Medical history included fainting. Unsure if patient has had symptoms associated with COVID-19. Patient has not had a COVID-19 test. Patient is not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced syncope on 01Jun2021 with outcome of recovered on 01Jun2021. No follow-up attempts are possible; information about lot number cannot be obtained. No further information is expected.

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