Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||049C21A / 2||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Dizziness, Loss of consciousness, Sensory disturbance
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: Patient was fine at time of injection. Patient stated he started feeling the vaccine throughout his body and that he was going to pass out. Patient passed out and came back to quickly; patient drank a bottle of water once he came to. I had the patient wait for 30 minutes in the pharmacy; he was fine at the time he left. Called back at 3:11pm; he states he is doing fine. He passed out with the first vaccination as well.
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