VAERS ID: 1708031

AGE: 33| SEX: M|STATE: VA (United States)

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

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Symptoms

Dizziness, Syncope, Unresponsive to stimuli

Vaccines

VAX DATE: 09-08-2021| ONSET DATE: 09-08-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FC3184 IM LA

RECVDATE:09-17-2021
RPT_DATE:
CAGE_YR:33
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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