National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1330944

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1330944
VAERS Form:2
Age:18.0
Sex:Female
Location:Colorado
Vaccinated:2021-05-19
Onset:2021-05-19
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood glucose normal, Dizziness, Loss of consciousness, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: None
Preexisting Conditions: unknown
Allergies: Amoxicillin
Diagnostic Lab Data: EMS states BP, heart rate/rhythm normal and glucose normal
CDC 'Split Type':

Write-up: patient feinted about 5 minutes after dose. She regained consciousness almost immediately but feinted again a few minutes later. We called EMS which arrived on scene and she continued having dizziness and was taken to hospital for evaluation.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330944&WAYBACKHISTORY=ON


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