This is VAERS ID 1858332

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/12/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FK5618 / 1	RA / IM
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	227C3 / N/A	LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fall, Loss of consciousness, Pallor

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt. received two vaccinations around 3:10pm. He was fine immediately following the injections. He stood up to wait for his father to be vaccinated. After the father''s first injection, patient fell back against the plastic cart of supplies and started to lose consciousness. I immediately grabbed him and helped him to the floor. His mother assisted me. I stuck my head out of the consultation room to yell for my team lead. By the time I turned back around, patient was sitting in a chair and fully aware and conscious. I grabbed a fan and started blowing cool air on him while my team lead grabbed some cool cloths. Those were placed at the back of his neck and on his forehead. He was very pale but stayed conscious. I gave him some orange juice and bottled water. After about 15 minutes, his color had returned and he left the room with the assistance of his father. He had reported never having passed out or fainting after a vaccine and he has no known drug allergies.

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