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This is VAERS ID 1469945

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1469945
VAERS Form:2
Age:20.0
Sex:Male
Location:Alabama
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fall, Seizure, Syncope, Unresponsive to stimuli

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Additional Details: Patient was given COVID shot in the shot administration room and then walked back to the pharmacy. He then fell/began having a seizure which was around a minute after administration. The pharmacist turned him on his side and held his head. The seizure lasted around 5 -10 seconds. 911 was called and first responders assessed patient. Patient reported that this has happened multiple times before after recieving vaccinations. After their assessment, he was able to walk out of the pharmacy.

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