This is VAERS ID 2483109

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/21/2022

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH	GJ6665 / 4	LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Syncope, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT FAITED AFTER VACCINE ADMIN, HIT HEAD IN PHARMACY, TAKEN BY AMBULANCE TO EMERGENCY ROOM

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