VAERS ID: 1881368

AGE: 27| SEX: F|STATE: IN (United States)

Description

An adult patient received her first dose of the Moderna COVID-19 vaccine. Approximately 20 minutes later she felt dizzy and nauseated. I spoke with her and checked her blood pressure which was elevated at 150/100. She sat down and rested for a while and eventually decided to go home. She stated that she might be having a panic attack as she has anxiety around vaccines.

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(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Dizziness, Nausea, Hypertension, Anxiety, Panic attack

Vaccines

VAX DATE: 11-18-2021| ONSET DATE: 11-18-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 939909 IM LA

RECVDATE:11-18-2021
RPT_DATE:
CAGE_YR:27
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:unknown
CUR_ILL:
HISTORY:Anxiety, diabetes
PRIOR_VAX:She had a similar reaction to a tetanus shot, info unknown.
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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