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This is VAERS ID 1461685

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1461685
VAERS Form:2
Age:56.0
Sex:Female
Location:California
Vaccinated:2021-07-03
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO198 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Altered state of consciousness, Cold sweat, Dizziness, Hyperhidrosis, Syncope, Laboratory test normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: No illnesses at time of vaccination
Preexisting Conditions: No long-standing health conditions
Allergies: No Allergies
Diagnostic Lab Data: Lab tests normal.
CDC 'Split Type':

Write-up: Patient had syncope. Became dizzy and fell in and out of consciousness. Began perspiring and became clammy. Breathing was normal. Patient fully recovered after emergency room visit.

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