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VAERS ID: 2265776

AGE: 23| SEX: F|State: NJ

Description

Systemic: Fainting / Unresponsive-Mild, Additional Details: shortly after pt received her pfizer booster she fainted, she regained consciousness within 20-30 seconds and the police and EMS were called onsite, they evaluated pt and escorted her out, after patient regained consciousness she did mention that she had fainted in the past after receiving a vaccination in her teens

Symptoms

Syncope, Unresponsive to stimuli

Vaccines

VAX DATE: 01 May 2022 | ONSET DATE: 01 May 2022 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 3
  • IM
  • LA
  • fp4554

RECVDATE:05 May 2022
CAGE_YR:23
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:05 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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