VAERS ID: 2315265

AGE: 9| SEX: F|STATE: CA (United States)

Description

Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: about 1 minutes after covid 19 Pfiezer 5-11 yrs vaccine, patient complains of nausea. look pale on face. no fever. sweat a little bit. patient is responsive. Blood pressure was 58/43, heartbeat 55. mother was give her a sip of drink which she brought with her. After 15 minutes blood pressure was taken again at 91/77. heartbeat 84. patient looks almost back to normal.

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Symptoms

Pallor, Nausea, Hyperhidrosis, Heart rate irregular, Blood pressure decreased

Vaccines

VAX DATE: 06-06-2022| ONSET DATE: 06-06-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH fl8094 IM LA

RECVDATE:06-10-2022
RPT_DATE:
CAGE_YR:9
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:06-10-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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