VAERS ID: 2013714

AGE: 23| SEX: F|STATE: NY (United States)

Description

Syncope after 2nd dose the following day, no seizure, no trauma sustained

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Symptoms

Syncope

Vaccines

VAX DATE: 05-14-2021| ONSET DATE: 05-15-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ew0153 IM AR
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH ER8736 IM AR

RECVDATE:01-07-2022
RPT_DATE:
CAGE_YR:23
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:focalin, sertraline, spironolactone and minocycline (for acne) and unithroid
CUR_ILL:Hypothyroid
HISTORY:hypothyroidism
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-07-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:penicillin
V_FUNDBY:

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