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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1367770



Case Details

VAERS ID: 1367770 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-06-02
Onset:2021-06-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OCP Ariprozole 20 mg qd, Pantropozole20 mg qd, Sertraline 200 mg qd, Prazosin 1 mg qpm Trazadone 50 mg qpm
Current Illness: none
Preexisting Conditions: Depression and anxiety
Allergies: Celery, Mustard
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt c/o tongue swelling without difficulty breathing, EMS called . Epinephrine 0.3mg administered. EMS arrived,swelling less . After discussion with EMS and mother pt agreed to transport to Hospital.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367770


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