This is VAERS ID 1914226

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/3/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FK5127 / 2	LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	ZG474 / N/A	RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Syncope

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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient collapsed about a couple of minutes after vaccines. Eyes were open and still conscious. Mother was by her side and caught her. She rested on the floor for a few minutes to regain focus, then placed in a seat to rest. Duration was a matter of minutes. Per mom, she has fainted before: once when she saw a syringe/needle, and another when watching someone have a seizure on a video. But has never collapsed/fainted with any other vaccines. Per mom, has not had more than 1 vaccine administered at a time before, at least not recently. Walked outside with family for 20 minutes to get fresh air. After 20 minutes, they checked in and she was fine, just tired.

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