Adverse Event Reporting
| VAERS ID | 1222642 |
|---|---|
| Gender | Male |
| Age | 23 |
| StateCode | |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | ER8735 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-04-16 |
| Onset | 2021-04-16 |
| Condition |
Symptoms
- Dizziness
- Fall
- Loss of consciousness
- Syncope
- Head injury
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Syncope, Dizziness, patient sitting in chair and passed out (unwitnessed).
Does not recall fall, small abrasion on forehead A&Ox4.
MD present.
Med Medics Present.
Inital BP 72/35; HR 78.
NO medical Hx, no current meds.
Denies EtOH/drug use.
Given water, juice, and crackers.
Last BP 141/70, HR 78 and did not require ACLS transport to ED.
Patient stable and released from vaccination site.