VAERS ID: 1884685

AGE: 30| SEX: M|STATE: CA (United States)

Description

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Seizure-Medium, Systemic: Weakness-Medium, Additional Details: 5 MINUTES AFTER ADMINISTRATION, PATIENT EXPERIENCES SEIZURE FOR ABOUT 5 SECONDS, PUPIL FIXED, PALE SKIN, SWEATING, LOSS OF BALANCE. HYPOTENSION (BP 104/61) . BRADYCARDIA (HR 49). PT RECOVERED FROM BRADYCARDIA IN ABOUT 15 MINS, AND HIS LIPS COLOR RETURNED BACK TO RED/PINK. PT WAS ABLE TO COMMUNICATE HE'S FEELING BETTER. AFTER 30 MINS HIS BP 115/87 THEN 123/88. HR 70 THEN 76. OXYGEN LEVEL 99. FOLLOWED UP WITH PATIENT. HE IS HOME AND FEELING FINE.

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Symptoms

Dizziness, Bradycardia, Hypotension, Syncope, Pallor, Hyperhidrosis, Asthenia, Balance disorder, Flushing, Unresponsive to stimuli, Pupil fixed, Seizure

Vaccines

VAX DATE: 11-18-2021| ONSET DATE: 11-18-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH fh8030 IM LA

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:30
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:11-19-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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