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This is VAERS ID 1678800

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1678800
VAERS Form:2
Age:19.0
Sex:Female
Location:New Mexico
Vaccinated:2021-09-06
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Loss of consciousness

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: Fainted when blood was drawn in the past
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 19-year-old female passed out after receiving her first Pfizer vaccination she was in 15 min observation area. She was responsive an attended to by medical staff on team. EMS was called individuals vital checked, blood pressure, VGL and oxygen all normal. Mother was present and patient declined to go to hospital for further evaluation.

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