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

This is VAERS ID 1408907



Case Details

VAERS ID: 1408907 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PAA165994/ EX65 / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), 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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: NO
Allergies:
Diagnostic Lab Data:
CDC Split Type: IEPFIZER INC2021654767

Write-up: Faint post vaccination; This is a spontaneous report from a contactable consumer(patient) via Pfizer sponsored program. A 22-years-old non pregnant female patient received first dose of BNT162B2 (COMIRNATY, Solution for injection, Lot# PAA165994/ EX6537), via an unspecified route of administration on 04Jun2021 at 10:00 into arm left as a single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 04Jun2021 at 10:30, the patient experienced faint post vaccination. Therapeutic measures were taken as a result of faint post vaccination. The outcome of the event was recovered.


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