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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||048F21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Dizziness, 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, Additional Details: The patient was seated in the waiting area. Approx 5 minutes after receiving the vaccine, the patient fainted. She woke up on the floor laying on her back after a few seconds. She said she was not hurt and was in no pain. She said she "always" faints or feels like fainting after getting a shot, but she had not reported this before the event occurred. We gave her water and a snack and encounraged her to stay seated for 30 minutes. She refused to let us take vitals, re-stating that she was fine.
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