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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||EW0198 / 1||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Head injury, Loss of consciousness
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)? Yes
Other Medications: NKDA
Current Illness: None
Preexisting Conditions: NKDA
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: Patient passed out after receiving immunization. vaccine received at (6:18 pm) Patient fell from chair hit her head on the ground 5 minutes after. I, a health care professional ran out to the patient after mom yelled she passed out. I called for a fan and Ice pack. RPH called emergency services immediately . patient was escorted to hopsital by ambulance.
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