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This is VAERS ID 1437630

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437630
VAERS Form:2
Age:33.0
Sex:Male
Location:Ohio
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Headache, Loss of consciousness, Pain

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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up: 1:15PM-vaccine given and patient sent to waiting room for 15 minute waiting period. 1:25PM-patients wife alerted staff that he was "passing out". Staff assisted patient in waiting room, instructed to remain seated, patient had LOC for <10 seconds and then regained consciousness immediately after. Patient instructed to remain in the clinic until 1:50PM, provided apple juice, crackers and ice pack. 1:50PM patient left with his wife, said that a friend drove them to appointment so they would not be driving. 6/30/2021 2:00PM- call to patient for follow-up, he is feeling much better today, has slight headache and body aches but no other complaints.

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