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VAERS Report 2095819

Case Report Section

Détails du rapport Vaer

Âge: 72 ans

Genre: Female

Région : Virginia

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 051e21a


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2021-10-30
Date d’apparition
3
Nombre de jours (date d’apparition – date de vaccination)
3
Description de l’événement indésirable

a few days after booster shot at the end of october, i fainted after becoming very short of breath. when i fainted, i fractured my l5 vertebra from the fall. it took me about 90 seconds to come back to consciousness. 4 days later, i went to the hospital to have an x-ray done on me and diagnosed the fracture. tested for cardiac echo with bubble study, and cts and mris of brain, and they all came back negative. decided it was a vasovagal response. 2 weeks of heart monitoring with z-pack, but nothing come from that. still having back pain, and a bit restricted in my exercise options. i have not had a fainting spell since then

Données de laboratoire
tested for cardiac echo with bubble study, and cts and mris of brain, and they all came back negative
Liste des symptômes
echocardiogram normal lumbar vertebral fracture magnetic resonance imaging head normal back pain dyspnoea syncope computerised tomogram normal fall presyncope x-ray abnormal back injury
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Private
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
rash from adhesive tape
Maladie actuelle
na