VAERS ID: 1858197

AGE: 7| SEX: M|STATE: VT (United States)

Description

Patient experienced a vasovagal reaction to the vaccine. 911 was called to further assess as patient displayed seizure like behavior as well. He lost consciousness momentarily. When he came to, he still was not able to respond well to our questions . His pulse was steady and his breathing was not labored. He threw up 3 times. His complexion was very pale. While EMS providers evaluated him, he continued to respond better to questions, regained his color, and was ultimately able to leave the clinic with his family. EMS determined that he experienced a vasovagal reaction and all his assessments came back within normal limits.

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Symptoms

Vomiting, Pallor, Aphasia, Loss of consciousness, Presyncope, Seizure like phenomena

Vaccines

VAX DATE: 11-10-2021| ONSET DATE: 11-10-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5618 IM RA

RECVDATE:11-10-2021
RPT_DATE:
CAGE_YR:7
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:911 was called. Blood pressure was taken (80/30). EMS performed further assessments.
V_ADMINBY:PUB
OTHER_MEDS:na
CUR_ILL:na
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-10-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:none reported
V_FUNDBY:

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