From the 3/29/2024 release of VAERS data:

This is VAERS ID 902464

Government Disclaimer on use of this data

Case Details

VAERS ID:	902464 (history)
Form:	Version 2.0
Age:	42.0
Sex:	Male
Location:	Louisiana

Vaccinated:	2020-12-15
Onset:	2020-12-15
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-15

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / UNK	LA / IM

Administered by: Private Purchased by: ?
Symptoms: Dizziness, Electrocardiogram normal, Hyperhidrosis, Laboratory test normal, Presyncope
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Basic Chemistry, EKG, and vitals were all normal on 12/15/2020.
CDC Split Type:

Write-up: within 15 minutes progressive light-headedness leading to near-syncope and diaphoresis. After 20 minutes symptoms subsided.

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