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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||050C21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Disorientation, Loss of consciousness, Eye movement disorder
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)? Yes
Other Medications: Lamotrigine 200mg, valcyclovir 500mg
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient''s eyes rolled back, head fell back and patient passed out. 911 was called. Patient came to approximately 1 min later and felt disoriented. Medics arrived and took her to hospital for evaluation.
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