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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||033B21 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Dizziness, Headache, Hypotension, Nausea, Syncope, Unresponsive to stimuli
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Additional Details: 911 was called immediately.Parametics monitored patients BP and over all alertness at the store. Patient was adviced by the parametics to go to ER. Pt declined and had to sign AMA (against medical advice) form.
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