이상반응 보고

VAERS ID 1628137
성별 여성
나이 28세
주 코드 PA
제약회사 MODERNA
로트 번호 022B21A
예방접종 횟수 1
접종일 2021-08-24
발병일 2021-08-24
상태
증상
  • 현기증(Dizziness)
  • 떨어지다(Fall)
  • 의식 소실(Loss of consciousness)

이환 중 질병

n/a

지병

Epilepsy

기타 의료

topiramate 50mg

이전 예방접종

알레르기

NKDA

임상 검사

unknown

증상 상세

Patient received 1st Moderna dose at 9:11am and was alert, talking, and felt fine after dose and 15 min wait time.
Patient proceeded to go shopping in the store.
At 9:38am front end notified me that a girl I gave a vaccine to passed out in check out line and they already called 911.
She was sitting in chair and talking to front end personnel when I reached patient and they had placed her in a chair.
Patient said she was still feeling dizzy so I helped her lay prone on the floor so she didn't pass out and fall down again.
Ambulance arrived and took patient to ER to be checked out.