Adverse Event Reporting

VAERS ID 2401429
Gender Male
Age 18
StateCode CA
Pharmaceutical Company NOVAVAX
Lot Number 4302MF023
Number of vaccinations 1
Vaccinated 2022-08-04
Onset 2022-08-04
Condition Recovered
Symptoms
  • Dizziness
  • Pallor
  • Loss of consciousness

Current Illness

N/A

Preexisting Conditions

N/A

Other Medications

N/A

Previous Vaccinations

Patient stated he has a history of fainting, even at eye exam.

Allergies

N/A

Laboratory Data

Write-up

Right after patient blacked-out for a few seconds.
He turned pale in face and lips.
He felt dizzy.
After laying down and resting, patient returned to normal.
He verbalized he felt better.