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This is VAERS ID 2464293

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Color Schemes (Before/After):

First Appeared on 9/30/2022

VAERS ID: 2464293
VAERS Form: 2
Age: 15.0
Sex: Female
Location: Pennsylvania
Vaccinated: 2022-09-25
Onset: 2022-09-25
Submitted: 0000-00-00
Entered: 2022-09-29
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Confusional state, Dizziness, Loss of consciousness, Syncope, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: patient passed out and hit the wall, but was breathing and responsive while laying on floor, NP relocated Pt to minute clinic to wait for medical response team-Mild, Systemic: Weakness-Mild, Additional Details: Pt was stable and taken by private transport to urgent/emergent care

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