National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1240239

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240239
VAERS Form:2
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Vital signs measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Complaint of dizziness immediately after vaccination. Waited a few minutes at the vaccination station and still complained of dizziness. Vital signs obtained x 2. She was given something to drink and rest. VSS. Escorted to waiting area by Nurse and patient''s husband. Monitored for 30 minutes. Client stated she felt better after drinking. Client able to walk unassisted and after 30 minute observation she was discharged to home without further incident


Changed on 5/7/2021

VAERS ID: 1240239 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Vital signs measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Complaint of dizziness immediately after vaccination. Waited a few minutes at the vaccination station and still complained of dizziness. Vital signs obtained x 2. She was given something to drink and rest. VSS. Escorted to waiting area by Nurse and patient''s husband. Monitored for 30 minutes. Client stated she felt better after drinking. Client able to walk unassisted and after 30 minute observation she was discharged to home without further incident


Changed on 5/14/2021

VAERS ID: 1240239 Before After
VAERS Form:2
Age:51.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Vital signs measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Complaint of dizziness immediately after vaccination. Waited a few minutes at the vaccination station and still complained of dizziness. Vital signs obtained x 2. She was given something to drink and rest. VSS. Escorted to waiting area by Nurse and patient''s husband. Monitored for 30 minutes. Client stated she felt better after drinking. Client able to walk unassisted and after 30 minute observation she was discharged to home without further incident

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240239&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166