Question: who turns elena into a vampire in the show

title: Elena Gilbert
text: In the show 's third season , Elena has a brain hemorrhage which was initially thought to be a concussion , and begins to die . In what was described by the International Business Times as `` the moment Vampire Diaries fans have been waiting for '' , Elena had to choose whether to be driven to Damon or Stefan to say goodbye to . At the time , Klaus was killed , meaning all vampires sprouting from his bloodline also die , which includes Damon and Stefan . She picks to say goodbye to Stefan . However , all these vampires end up surviving when Klaus never really dies . To save her , Doctor Merideth Fell ( Torrey DeVitto ) fed Elena Damon 's blood . Rebekah Mikaelson kills Elena on Wickery Bridge , unaware of the vampire blood in her system . She woke up as a vampire at the end of the season . The Hollywood Reporter interviewed Plec , and described her transition as `` monumental changes '' which would have Elena in for a `` wild ride '' . Plec said Elena becoming a vampire is `` an awakening of a person who is about to go through a lot of changes '' , and `` she is going to evolve as a person and her relationships are going to evolve accordingly '' . While Stefan was afraid she would hurt someone , Damon thought it was inevitable and wanted to `` rip the band - aid off '' . Plec felt that `` She 's , unfortunately , not getting the same advice from the two people she values most in the world . It 's going to make it more difficult for her '' , while describing the situation as `` a whole new Elena and it 's a whole new day . It 's a different dynamic between the three of them especially '' . 

Answer: answer: To save her, Doctor Merideth Fell fed Elena Damon's blood. She woke up as a vampire at the end of the season.