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This is VAERS ID 1492899

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1492899
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:2021-07-17
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Dizziness, Feeling abnormal, Syncope, Vomiting

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20212

Write-up: collapsed after second dose; got really dizzy; since then really foggy & out of it; then vomitted; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (collapsed after second dose) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 17-Jul-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Jul-2021, the patient experienced SYNCOPE (collapsed after second dose) (seriousness criterion medically significant), DIZZINESS (got really dizzy), FEELING ABNORMAL (since then really foggy & out of it) and VOMITING (then vomitted). At the time of the report, SYNCOPE (collapsed after second dose), DIZZINESS (got really dizzy), FEELING ABNORMAL (since then really foggy & out of it) and VOMITING (then vomitted) outcome was unknown. No concomitant medications were reported. Treatment information was not provided. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender''s Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

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