This is VAERS ID 2005824

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2022

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

Administered by: Pharmacy      Purchased by: ??
Symptoms: Influenza, Mydriasis, Seizure, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: BP CHECKED- 98/55, BG 78, AFTER SECOND BP CHECK IT WAS 107/65
CDC 'Split Type':

Write-up: PATIENT RECEIVED PFIZER FIRST, THEN FLU RIGHT AFTER. HE FAINTED MOMENTS AFTER SECOND VACCINE. HIS PUPILS WERE VERY DILATED. HE CAME TO WITHIN SECONDS, AND HAD SOME WATER. HE FAINTED AGAIN AND BEGAN CONVULSING. HE CAME TO WITHIN SECONDS AGAIN.

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