Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||001B21A / 2||UN / IM|
Administered by: Unknown Purchased by: ??
Symptoms: Confusional state, Feeling abnormal, Headache, Loss of consciousness, Seizure, Unresponsive to stimuli, Musculoskeletal stiffness, Eye movement disorder, COVID-19, SARS-CoV-2 test positive
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
Hospitalized? Yes, days:
Write-up: This pleasant 70-year-old female presents with feeling poorly headaches and momentary loss of consciousness with confusion and at with test seizure x1---more detailed history per attending physician, is verified and reproduced below Tested positive on 10/03/2021 Presents with 70 year old female with a history of hypertension, hypercholesteremia presents to emergency room complaining of not feeling good for the past few days. Patient reports that she has been having intermediate episodes of headache. Patient reports that this morning she did not feel well after getting up. Spoke with patient''s husband which reports that she was sitting down on the sofa and became stiff, eyes rolled back and unresponsive for few seconds. Patient came into the emergency slightly confused. The onset was just prior to arrival. The occurrence was single episode. Witnessed: yes. The location where the incident occurred was at home. The character of symptoms is Eyes rolled back and body tensed up. The Postictal symptoms is confusion. The exacerbating factor is none. Risk factors consist of. Therapy today: none. Pregnancy symptoms none. Associated symptoms: headache. Associated injury: none. 
Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166