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This is VAERS ID 1467523

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467523
VAERS Form:2
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Syncope

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: yes 1st pfizer vaccine she passed out. please see above
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient fainted in her chair about 10 mins after vaccine was administered. Patient did not hit her head. Patient was given water, asked to lie down, and monitored for an additional 15 minutes until she felt better

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467523&WAYBACKHISTORY=ON


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