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This is VAERS ID 1785692

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1785692
VAERS Form:2
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2021-10-05
Onset:2021-10-05
Submitted:0000-00-00
Entered:2021-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3590 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Syncope, Unresponsive to stimuli

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: N/A
Current Illness: N/A
Preexisting Conditions: NONE KNOWN
Allergies: nkda
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient fainted shortly after 2nd pfizer dose and was unresponsive for a period of about 10-15 minutes, 911 was called, cold compress applied to back of neck, patient laid onto ground, BP was monitoring by vaccine administering nurse and reported as 98/58 and 98/52 for the 2 readings. EMTs arrived about 15mins later, by which time patient had just become responsive and was sitting upright, EMT performed their own evaluation/assessment of patient and was cleared by them, she sat in pharmacy waiting room for additional 15 minutes prior to leaving pharmacy.

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