VAERS ID: 2146565

AGE: 11| SEX: F|STATE: CA (United States)

Description

Pt stated she felt like she had to throw up then began feeling faint. Pt then threw up x1. Staff elevated feet, put head up, applied cool/wet towel. Temp 96.8. Pt reports not eating before taking vaccine. Offered water and food. Refused food. Drank 8oz water. Stated she felt better after throwing up. No further complaints of nausea or faintness. Able to stand and walk in own and appropriately. Mother present. Pt left with mother after observation period over.

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Symptoms

Dizziness, Vomiting, Nausea

Vaccines

VAX DATE: 02-26-2022| ONSET DATE: 02-26-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FL8095 IM LA

RECVDATE:02-26-2022
RPT_DATE:
CAGE_YR:11
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:Patient Denies any medication taken
CUR_ILL:None reported
HISTORY:None reported
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-26-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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