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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||061E21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Abdominal pain, Dizziness, Fatigue, Flushing, Hyperhidrosis, Hypotension, Nervousness, Syncope, Tremor, 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: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Severe, Additional Details: Patient recieved Moderna Covid vaccine and was waiting for the 15 mins, friend came over to tell me that he friend was shaking, when I went over to the patient she was unresponsive. After about 15-20 seconds she was reponsive, after further discussion with the patient she said this has happened before when she gave blood, she said she was extremely nervous and thinks that is what caused the reaction BP was 90/60 at first after it was back to normal at 120/80. She did not want to call Emergency.
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