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||0574C21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Chills, Dizziness, Fall, Feeling hot, Flushing, Hyperhidrosis, 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: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Pt reported feeling "queasy", "hot", having "chills" and "sweating", pt fainted and fell out of chair. Was responsive after fainting and reports no pain, no trouble breathing. Assessed by NP from clinic, BP and HR normal. EMS was called and pt was transferred to their care for follow up. Contacted patient around 3pm same day and pt spouse reported pt feeling much better and was "doing ok"
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166