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This is VAERS ID 1443157

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1443157
VAERS Form:2
Age:12.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Pt had a syncopal event 2mins after vaccination. BP 104/70, HR 99, RR 17 -- $g 98/55, 73, 18. Pt recovered. Pt stable and released from the vaccination site.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1443157&WAYBACKHISTORY=ON


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