Adverse Event Reporting
| VAERS ID | 955179 |
|---|---|
| Gender | Female |
| Age | 79 |
| StateCode | TN |
| Pharmaceutical Company | MODERNA |
| Lot Number | 0296205 |
| Number of vaccinations | |
| Vaccinated | 2021-01-02 |
| Onset | 2021-01-04 |
| Condition | Permanent Disability Recovered |
Symptoms
- Dizziness
- Nausea
- Fall
- Syncope
- Facial bones fracture
- Computerised tomogram head abnormal
Current Illness
None
Preexisting Conditions
Allergies
Other Medications
Morning: Lexapro 10 mg, Losartan/HCT 100/12.5/, atoruastatin 20 mg/calcium, Escital Opram 5mg, Evening: omaprazole 20 mg, procilosac, amlicdpine destylate 5 mg, montelakast sodium 10 mg, baby asprin Day and night: dymista 23 mg spray, Tro
Previous Vaccinations
Allergies
Sulfa,latex, lovaquin
Laboratory Data
Cat scan showed a broken nose after hitting the tile floor.
There was no indication of brain damage or of a stroke.
Doctor felt like she had had a vasovagal syncope.
The doctor changed her Losartan medication to not include a diuretic from Losartan/ HCT or Losartan/HCTZ.
However, she had been on this medication for years.
The last time she fainted was as a young teenager.
Write-up
Two days after her shot, she was sitting down working on her computer paying bills.
She became nauseas and dizzy and then fainted.
She hit the tile floor.