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This is VAERS ID 1685336

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685336
VAERS Form:2
Age:21.0
Sex:Female
Location:Iowa
Vaccinated:2021-09-09
Onset:2021-09-09
Submitted:0000-00-00
Entered:2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037F21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood glucose normal, Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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':

Write-up: Five minutes after vaccination the patient passed out. She lost consciousness for less than one minute. She continued breathing the entire time. The pharmacist guided her to lay on the floor and elevated her feet. After a couple of minutes the patient felt good enough to sit up and start talking. She was offered a sugary beverage to sip on. EMTs responded and checked the patient''s blood sugar which was 104. After 30 minutes the patient was able to walk out to her vehicles where a family member took her home to rest.

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