This is VAERS ID 1942394

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/17/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FL0007 / 2	LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR	UJ687AA / 1	RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Anxiety, 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: don''t know
Current Illness: none that i know about
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: pt got 2 vaccines - flu and 2nd covid vaccine , pt fainted - gave water and put ice pack on back , pt was very anxious

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