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This is VAERS ID 1440861

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440861
VAERS Form:2
Age:50.0
Sex:Female
Location:Arkansas
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022B21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Vision blurred, Immediate post-injection reaction

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: blood pressure 201/118
CDC 'Split Type':

Write-up: Patient immediately felt dizzy and like she was going to faint/ pass out. Checked patient''s blood pressure 5 minutes later and it was 201/118. Patient said she started having blurry vision about that same time. Called ED and patient was taken by EMS.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440861&WAYBACKHISTORY=ON


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