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VAERS ID: 1708031

AGE: 33| SEX: M|State: VA

Description

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: AFTER 5-10 MINS GIVEN THE VACCINE @6;50PM, THE PT FELT DIZZY/FAINTED FOR 2-3 MINS. RPH MADE SURE HE DIDNT FELL OR HIT HIS HEAD. TECH CALLED 911. PARAMEDIC TOOK BP 134/86, BS 78, OSAT 99. PULSE 69. 9/9/21 CALLED PT TO FOLLOW UP/OK. PT STATED HE WAS BEING WATCHED FOR 20MINS IN THE AMBULANCE AND SENT HOME

Symptoms

Dizziness, Syncope, Unresponsive to stimuli

Vaccines

VAX DATE: 08 September 2021 | ONSET DATE: 08 September 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        17 September 2021
        CAGE_YR:
        33
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        Y
        LAB_DATA:
        V_ADMINBY:
        PHM
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        17 September 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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