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This is VAERS ID 1440735

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440735
VAERS Form:2
Age:17.0
Sex:Male
Location:Minnesota
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted after getting second pfizer shot. was placed in supine position/water given later. bp,pulse was normal. emt/911 called and was checked in detain in ambulance.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440735&WAYBACKHISTORY=ON


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