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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0177 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Loss of consciousness, Seizure like phenomena
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Previous Vaccinations: Patient reported same event occurred after he received HPV vaccine.
Other Medications: n/a
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Immediately after IM administration of vaccine, patient lost consciousness and seemed to be seizing while seating in his chair. Patient regained consciousness within the same minute. Pharmacy manager was immediately called over. We gave the patient water and had him wait for observation for 30 minutes post vaccine administration. Patient mentioned that he had similar syncope episode after receiving HPV vaccine.
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