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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||046821A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Dizziness, Hypotension, Injection site pain, Syncope, Unresponsive to stimuli, Fear of injection
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Site: Pain at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: Patient passed out approximately 3 min after given the dose. While getting ready to conduct CPR, the patient started responding. Patient was able to be seated. Called 911 and the paramedics arrived. After examining the patient, paramedics told me that patient told them that she was only afraid of needles and they think the reaction is Psycho-Somatic. Patient blood pressure was low for a little while.
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