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VAERS ID: 2275480

AGE: 58| SEX: F|State: VA

Description

Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Person with her said she has concerns with injections but hasnt fainted with previous Pfizer Covid injection(s) I attempted phone call to her residence 8:15pm to check on her but no answer. Event occured est 6:30pm, 911 emergency personel arrived 6:37pm, taken by stretcher 6:48pm

Symptoms

Flushing, Unresponsive to stimuli, Hyperhidrosis, Injection site erythema, Rash, Syncope

Vaccines

VAX DATE: 08 May 2022 | ONSET DATE: 08 May 2022 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • IM
  • LA
  • FK9893

RECVDATE:
12 May 2022
CAGE_YR:
58
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
U
LAB_DATA:
V_ADMINBY:
PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
2
TODAYS_DATE:
12 May 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
Y
ALLERGIES:
V_FUNDBY:
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