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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||049C21A / 2||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Asthenia, Dizziness, Flushing, Hyperhidrosis, Hypotension, 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: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: After administering the immunization, the patient proceeded to the lobby where she sat down. She began to feel nauseous and rose from her seat. She then passed out. I ran out to the lobby and tried to get her to her seat, where she then fainted again. A this time we had a nurse come over and check her blood pressure that was approximately 90/50. After about 5 minutes her blood pressure normalized to approx. 120/80. After 15-30 minutes, her mother picked her up and took her home. No complications
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