VAERS ID: 1404793

AGE: 12| SEX: F|STATE: ND (United States)

Description

Patient was nervous about getting the vaccine. Patient felt dizzy as she stood up and started to faint. Her mother and I caught her to lower her to the ground and she came back out of it before we even got her to the ground. She became pale and sweaty.

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Dizziness, Syncope, Pallor, Hyperhidrosis

Vaccines

VAX DATE: 06-16-2021| ONSET DATE: 06-16-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ew0191 IM RA

RECVDATE:06-17-2021
RPT_DATE:
CAGE_YR:12
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:She felt dizzy after her Tdap shot.
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none listed
V_FUNDBY:

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