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 normal, Electrocardiogram normal, Syncope
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
Previous Vaccinations: Father disclosed that information after the event
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: Paramedics arrived and conducted EKG, BS, BG.......all negative
CDC 'Split Type':
Write-up: Pfizer vaccine given. Patient was waiting 15 minutes after vaccine before departing. Patient was accompanied by father and two siblings. Patient fainted while sitting.
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