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This is VAERS ID 1408907

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408907
VAERS Form:2
Age:22.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-04
Onset:2021-06-04
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

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: 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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