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This is VAERS ID 1454542

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454542
VAERS Form:2
Age:15.0
Sex:Male
Location:Texas
Vaccinated:2021-07-07
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Syncope, Vomiting, Immediate post-injection reaction

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: the patient was a 15 year old male , came in for the first dose of pfizer vaccine, after getting the vaccine , the patient suddenly fainted for a moment, but came back in less than a minute, he was still little dizzy for couple minutes after that, but was perfectly ok after 5 minutes, he also threw up, no other allergic reactions noticed, . mom had mentioned that he hadn''t had anything to eat in the morning and he was really nervous too, that might be the reason she said. but we did monitor the patient for over 30 minutes and he was perfectly fine before he left

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