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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||050C21A / 2||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Loss of consciousness
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
Other Medications: Atorvastatin, Pradaxa, tamsulosin, carvedilol,
Current Illness: nka
Preexisting Conditions: hypercholesterolemia, BPH, Hypertension, Blood thinner
Diagnostic Lab Data: n/a--didn''t take himself in to be seen
CDC 'Split Type':
Write-up: Patient states he passed out the evening after receiving his 2nd dose. He doesn''t know how long he was out. the next day, he was fine.
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