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This is VAERS ID 1775241

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First Appeared on 10/15/2021

VAERS ID: 1775241
VAERS Form:2
Age:22.0
Sex:Male
Location:California
Vaccinated:2021-10-09
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301358A / 3 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Asthenia, Cold sweat, Dizziness, Fall, Myalgia, Sleep disorder, Syncope, Visual impairment, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Vitamin D - 1000 IU
Current Illness: No illnesses, but I donated blood recently on 10/02/21. I had no complications during the donation but I feel they may be related.
Preexisting Conditions:
Allergies: Allergy to sulfa
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I woke up in the middle of the night to go urinate on the night I got vaccinated with the booster dose of Pfizer for COVID. I felt very weak with muscle aches which I know to be normal symptoms. However, I began to feel dizzy while peeing and I fainted and fell. Later that morning at about 9am on 10/09/2021 I tried to get out of my bed but began feeling faint again within being up for 2 minutes. Some of the symptoms include dizziness, visual darkening, a cold sweat, and syncope with standing. I did a whole blood donation recently on 10/02/2021 without any complications but I suspect these two things are related.

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