VAERS ID: 1795063

AGE: 15| SEX: F|STATE: PR (United States)

Description

Patient refers feeling dizzy, looks pale and blurry vision. Paramedics take her vitals and is transported to ambulance for evaluation. Pressure 80/50, Dxt 100, P67, sat. Doctor was called and indicates to elevated legs, to keep in observation for 30 minutes and give patient a candy for stimulation.

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Symptoms

Dizziness, Pallor, Vision blurred, Blood glucose normal

Vaccines

VAX DATE: 08-06-2021| ONSET DATE: 08-06-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FA7484 IM RA

RECVDATE:10-18-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PUB
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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