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This is VAERS ID 1432930

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1432930
VAERS Form:2
Age:21.0
Sex:Female
Location:Florida
Vaccinated:2021-06-26
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Syncope, Unresponsive to stimuli

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient stated that she always faints when she gets the vaccine however she did not mention that before she was given the vaccine. She was with her mom. she was given gatorate/ crackers and felt better. she was reponsive however it is a common side effect that she gets when she gets blood drawn or vaccines. the mom stated that she will always have to be with her when she gets vaccinated. Patinet did not want us to call 911. she was ok before she left.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1432930&WAYBACKHISTORY=ON

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