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This is VAERS ID 1693460

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693460
VAERS Form:2
Age:20.0
Sex:Female
Location:Michigan
Vaccinated:2021-09-12
Onset:2021-09-12
Submitted:0000-00-00
Entered:2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Flushing, Hyperhidrosis, 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:
Other Medications: UNKOWN
Current Illness: UNKNOWN
Preexisting Conditions: UNKNOWN
Allergies: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: A few minutes after vaccination, the patient began what appeared to be vasovagal syncope. Symptoms lasted for 1-2 minutes, and the patient awake from syncope and was alert and coherent. Patient felt flush and was sweating. She reported feeling completely normal approximately 5-10 minutes after awakening. Patient did not fall on the ground. She was sitting in a chair and dropped a few items from her hand and slumped into chair for entirety of symptoms. Patient reported no prior issues with vaccinations. Patient came with a friend/family member who was with her during the entirety of symptoms. Patient reported feeling anxious prior to vaccination. Patient also reported that she had nothing to eat prior to vaccination due to nervousness.

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